GOVERNMENT OF TAMIL NADU ADMISSION TO MEDICAL / DENTAL COURSES 2011 2012 Session

M.B.B.S. / B.D.S. PROSPECTUS LAST DATE FOR SUBMISSION OF APPLICATION 02 06 2011 upto 5.00 P.M.

SELECTION COMMITTEE

SELECTION COMMITTEE DIRECTORATE OF MEDICAL EDUCATION #162, PERIYAR E.V.R HIGH ROAD, KILPAUK, CHENNAI 600 010.
Phone No : 044-28361674 Website: www.tnhealth.org / www.tn.gov.in Official Mobile Number : 8939145147 To send SMS to candidates regarding counselling only ( If required )

COST

500/-

AT A GLANCE Last date for submission of the application Expected date for declaration of Merit Allotment of seats by Personal appearance I Phase II Phase : 30.06.2011 onwards. : Schedule will be hosted on the website only after the completion of the II round of All India counselling. : The time as mentioned in the allotment order of the candidate. : 02.06.2011 , 5.00 pm : 21.06.2011

Last date of admission

The merit list will be displayed on the notice board of this Directorate. Merit list will be also available on the internet at http / www.tnhealth.org / www.tn.gov.in. Results of individual candidates will not be informed over the telephone. All legal disputes pertaining to the allotment of seats to colleges for both MBBS and BDS courses by the Selection Committee, Directorate of Medical Education shall fall within the jurisdiction of Chennai only. Applications can be downloaded from the websites www.tnhealth.org and www.tn.gov.in and the filled application along with necessary enclosures and 3 self addressed envelopes measuring 23 x 10 cms and sent in a large sized cover measuring 38cm X 28cm super scribed APPLICATION FOR MBBS / BDS COURSES 2011 2012 SESSION to the Secretary, Selection Committee, Kilpauk, Chennai -10 before the last date along with a Demand Draft for 500 /- towards the cost of application form drawn in favour of The Secretary, Selection Committee and payable at Chennai. The name of the candidate and the name of the course (MBBS/ BDS )should be written on the reverse of the Demand Draft. AR Number will be assigned by the Selection Committee. Candidates can track their applications on the above websites by entering their names as entered in the application and the Plus Two Examination Register Number.

CONTENTS

S.NO

PARTICULARS

CLAUSE NO

GENERAL INSTRUCTIONS

ELIGIBILITY

28

PROCEDURE FOR FILLING & SUBMISSION OF APPLICATION

9 19

4 5

METHOD OF SELECTION & ADMISSION MERIT LIST

20 21 22 23

COUNSELLING PROCEDURE

24 38

ALL INDIA SURRENDERED SEATS

39

CATEGORIES OF SEATS

40 42

DURATION OF COURSE

43

10

TUITION FEES

44

11

COUNSELLING FORM ( SPECIMEN COPY)

12

ANNEXURES

I to XVII

I. GENERAL INSTRUCTIONS : 1. (a) Completed Application Form should reach: THE SECRETARY, SELECTION COMMITTEE, 162, E.V.R. PERIYAR SALAI, KILPAUK, CHENNAI 600 010. on or before 02 06 2011 by 5.00 p.m. (b) The candidates shall ensure that the completed application form with all particulars and enclosures reaches the Selection Committee within the date and time specified. Applications received by Speed post / courier or any other means, after the last date & time will not be accepted irrespective of the date of booking. (c) The Selection Committee shall not be responsible for any delay in the receipt or for the loss in transit of application form etc., (d) Request for extension of time for submission of documents called for, after the specified date and time will not be entertained. (e) Any supporting documents received after the due date or application without required documents / particulars will not be entertained. (f) Candidates seeking admission under Special Category for both MBBS and BDS courses (Children of Freedom Fighters, Physically disabled, & Children of ExServicemen - except Sports Quota) shall submit a separate Special Category Form I along with the main application in the prescribed format available along with the Prospectus with an additional fee of 100 /- by way of a Demand Draft for each special category enclosing the relevant certificates. If the certificates are not enclosed the candidates will not be considered under that category without any intimation to the candidate. (g) Candidates seeking admissions under Sports Quota are directed to submit their main application as well as the special category form II prescribed for Sports along with the Certificates and the additional fee of 100 /- by way of a Demand Draft only in person on or before 02.06.2011. If the certificates are not enclosed the candidates will not be considered under that category without any intimation to the candidate. (h) All the demand drafts should be drawn in favour of Secretary, Selection Committee payable at Chennai. (i) Candidates selected under General Category will not be allowed to claim the very same status as the candidates selected under Special Category and vice versa. (j) No oral enquiry would be entertained. (k) Photocopy/ Fax copy of the application will not be accepted. (l) Both upper limbs, vision and hearing should be normal for all candidates including for candidates applying under physically disabled category. II. ELIGIBILITY CRITERIA : 2. Candidate should be a Citizen of India.

3. Nativity : i) Candidate should be a Native of Tamil Nadu ii) Candidates who have studied from VIII to XII standards in schools in Tamil Nadu need not enclose the Nativity Certificate iii) Candidates who are native of TamilNadu but studied from VIII to XII Std either partly or completely in schools situated outside Tamil Nadu should produce the Nativity Certificate. iv) The Certificate of Nativity in Tamil Nadu should be issued by the competent authority only in the specified format available in the application form and supported by a copy of Passport/ Ration Card / Birth Certificate.. If the copy of the supporting document is not produced, then the application form will be rejected. Nativity Certificate submitted later will be summarily rejected. v) Applications without a proper Nativity Certificate will not be considered. vi) Permanent Residence Certificate will not be accepted. Note: (a) Nativity Certificate should be produced as per Instructions for Nativity Certificate in Annexure XV (b) Producing false nativity certificate if detected at any time later during the course of study will result in expulsion of the candidate and also initiation of criminal proceedings against the candidate as well as the Parents as per law. 4. Age Limit : Should have completed the age of Seventeen years on or before 31st December 2011. Evidence should be produced. 5. Educational Qualifications: (i) Candidates should have passed in all the subjects of the qualifying examination of the Higher Secondary Certificate Examination (Academic) conducted by the Tamil Nadu State Board /any other equivalent Board in one and the same attempt ( Single Sitting ) in the following group of subjects with the minimum eligible marks. (a) Physics, Chemistry, Botany and Zoology. (or) (b) Physics, Chemistry, Biology with any other subject. (ii) A failure in examination/ reappearance/ first appearance in compartment in one or more subjects will be treated as an attempt. 6. (a) Candidates who have passed the H.S.C in the Vocational Stream and private candidates are not eligible to apply for Medical / Dental course. (b) The selection and admission of candidates of other Universities / Boards will be provisional subject to recognition of the qualifying examination by the Tamil Nadu Dr. M.G.R. Medical University under which the candidate gets admitted. In case, the recognition is not accorded for the admission of the candidate on any ground, the provisional admission will not entitle the candidate for the continuance of the course and the admission will be cancelled.

7. Minimum Eligibility Marks : A. MBBS : (i) Other Communities : (a) A minimum of 60% marks in Biology or Botany and Zoology taken together. (b) A minimum of 60% marks in each of the subjects of Physics and Chemistry. (c) Aggregate of the percentage of marks in (a) and the percentage of marks in (b) should not be less than 140 out of 200 marks. (ii) Backward Class and Backward Class Muslim : (a) A minimum of 60% marks in Biology or Botany and Zoology taken together. (b) A minimum of 60% marks in each of the subjects of Physics and Chemistry. (c) Aggregate of the percentage of marks in (a) and the percentage of marks in (b) should not be less than 130 out of 200 marks. (iii) Most Backward Classes and Denotified Communities : (a) A minimum of 55% marks in Biology or Botany and Zoology taken together. (b) A minimum of 55% marks in each of the subjects of Physics and Chemistry. (c) Aggregate of the percentage of marks in (a) and the percentage of marks in ( b) should not be less than 120 out of 200 marks . (iv) Scheduled Castes, Scheduled CasteArunthathiyar , Scheduled Tribes : (a) A minimum of 40% marks in Biology or Botany and Zoology taken together. (b) A minimum of 40% marks in each of the subjects of Physics and Chemistry. (c) Aggregate of the percentage of marks in (a) and the percentage of marks in (b) should not be less than 80 out of 200 marks. (v) The candidates under Physically challenged Category (Locomotory disability of Lower Limbs alone). OC / BC / BCM / MBC / DC should have obtained a minimum of 45% marks in each prescribed subject in the qualifying examination ( B ) BDS :(i) The candidates ( OC / BC / BCM/ MBC/ DC ) should have obtained not less than 50% of the aggregate marks in Physics, Chemistry, and Biology / Botany and Zoology taken together at the qualifying examination. (ii) Scheduled Caste, Scheduled caste Arunthathiyar and Scheduled Tribe, the aggregate marks required for admission shall be 40%. (iii) The candidates under physically challenged category (OC / BC / BCM / MBC / DC) should have obtained not less than 45% of the aggregate marks in the above prescribed subjects at the qualifying examination. Note:- i) The Marks obtained in the qualifying examinations in the relevant science subjects in the first appearance only will be taken into consideration for the allotment of seats to the candidates and the improvement marks in +2 examinations of any year will not be considered. As per the G.O Ms. No. 184 .HE (32) Dept., dt 09.06.2005 and G.O (st ) No 143 HE (32) Dept dt 06.05.2008 improvement marks obtained by the candidates including 6

other state candidates from 2006 onwards will not be considered . ii) Candidates who have passed any other equivalent examinations in the first attempt with the same group of subjects mentioned above should produce the eligibility certificate from the Tamil Nadu Dr. MGR Medical University before admission to the course.

iii) In the case of candidates who have furnished the mark sheets of the qualifying examination, only in GRADES, the minimum marks of the grades alone will be taken into consideration while determining the marks in the Science subjects of Physics, Chemistry and Biology or Botany and Zoology. iv) Candidates who have submitted mark sheets with GRADES should obtain the mark equivalent certificates from the examination authority and attach a certified copy along with their mark sheet as an enclosure with the application. v) Normalization method will be adopted for calculating the minimum eligibility mark for the candidates who have passed any other equivalent examination. 8. Normalization Of Marks: As per the Tamil Nadu Act No 3 of 2007, dt 05.03.2007 and G.O( Ms) No 77 HE(J2) Dept , dt: 05.04.2007, the marks obtained by the students in the relevant subjects in the qualifying examination conducted by the various Boards or Authority shall be equated with the marks obtained by the students in the same subjects in the qualifying examination conducted by the State Board of Tamil Nadu by adopting the method of normalization. Explanation : Under the method of normalization the highest mark obtained by the students of various Boards in each subject will be equated to the highest mark obtained by the students of State Board in that subject and the relative marks obtained by other students in that subject will be determined accordingly. Illustration: If the highest mark secured by the student of State Board in Physics is 100 and the highest mark secured by a student of any other Board in the same subject is 90, both the highest mark will be considered to be equal to 100. If a student of the Other Board secures 60 marks in Physics when the first mark in Physics in the same board is 90, the 60 marks will be considered to be equal to 66.66 marks as arrived at below:100 x 60 = 66.66% 90 After normalization of marks in the relevant subjects in the qualifying examination conducted by different Boards, the qualified students of different Boards will be merged into a common merit list.

III. PROCEDURE FOR FILLING AND SUBMISSION OF APPLICATION : 9. a.Before filling up the application form and OMR sheets, read all the instructions carefully. b.Each application form bears a unique number which is printed on the Prospectus, Application form and the OMR. Candidates are requested to check the number and ensure that the same number is printed on the Prospectus , Application form , OMR, Outer & Inner covers and Acknowledgement Card. In case any discrepancy is noted, it should be immediately brought to the notice of the Selection Committee before the last date for the receipt of applications. However the serial number of the OMR will be considered as the final number for correspondence purposes . 10. Use one common application form for M.B.B.S. and B.D.S. Courses. No candidate should submit more than one application. 11.
.

Fill up the application form and OMR sheet legibly, neatly and correctly. The information will be processed by using a computer. Any mistake committed by the candidate will prejudice the selection.

12. Do not fold the OMR sheet under any circumstance. Making a hole, using a pin or a stapler on the OMR sheet should be avoided. Cutting, overwriting and erasing in the Application form and in the OMR Sheet or Scrutiny Form should be strictly avoided 13. Candidates should inform the change of address, immediately to the Selection Committee. If the change of address is not intimated to the Selection Committee in time, the Selection Committee will not be responsible for delay in communication or its consequences. The results will be published on the web sites www.tnhealth.org / www.tn.gov.in as well as on the notice board of the Selection Committee, Directorate of Medical Education, Chennai. 10

14. a) Application with incomplete or insufficient particulars or without enclosures or those received after the last date mentioned will be summarily rejected without intimation to the candidate. b) Filled up applications without the signature of the candidates will be rejected. 15. The Government Orders issued and to be issued from time to time pertaining to any of the matters contained in the prospectus should be read as part and parcel of this prospectus and such terms and conditions in the Government Order are deemed to have been incorporated in this prospectus. 16. Candidates should affix recent passport size photographs taken with name and date (as shown in the Instructions- Annexure XIII ) duly attested by Group A or Group B officer of the Government of Tamil Nadu or Central Government or the Head of the Institution last studied in the places provided in the application form and the OMR..

17. The Registration Number allotted by the Directorate of Government Examination / Concerned Boards should be indicated along with the year of +2 examination/ equivalent in the application for admission to Medical / Dental Course. 18. All the entries in the application form should be written legibly by the candidate in his/her own handwriting.The candidate should ensure that all information including the marks in the qualifying examination furnished by him/her in the application and the enclosure are correct. The candidate is informed that if after proper scrutiny of his/her application, the marks furnished by him/her in the application are not correct or any other information is found to be incorrect, then; a. he/she will forfeit the admission no matter at what stage of the course, he / she will be at that time; b. he/she will be debarred from pursuing any other course for a period of three years; c. legal action will be instituted against the candidate and the parents/guardian for furnishing incorrect information; d. Criminal action will be instituted against him/her for furnishing false Mark Sheets / false Community Certificate/ false nativity certificate. 19. No document enclosed with the application will be returned. Candidates are required to enclose only the attested photocopies of the following certificates along with the application. Attestation should have been made by Group A or Group B Officer of the State Government or Central Government or by Head of the Institution where the candidate studied. (a) Mark sheet of H.S.C. (Academic) examination (both sides of mark sheet should be photocopied) or any other equivalent examination of the first appearance. (b) Transfer certificate obtained after the completion of H.S.C. (Academic) or equivalent courses. (c) Nativity certificate (if applicable) (d) Permanent Community Certificate Card. (e) X standard Mark Sheet . (f) Certificate for proof of study from VIII standard to XII standard. (g) H.S.C Hall Ticket (h) First graduate certificate( if applicable ).Certificate submitted along with application alone will be considered. If submitted later to the college authorities it will be summarily rejected (Annexure XVI- a & b) (i) Special category form(s) with Demand Drafts and relevant certificates (if applicable). Note: (i) The candidates belonging to Scheduled Tribe should produce Community Certificate obtained from Revenue Divisional Officer. An attested Xerox copy or certified copy of the permanent community certificate card should be produced.

(ii) Producing a false community, Nativity or any other certificate if detected later at any point of time during the course of study will result in expulsion of the candidate and also criminal proceedings will be initiated against the candidate as well as the parents as per law.
(iii) As number of bogus community certificates are being encountered off late and in

order to curb such practices, the authentication of the above certificate has to be verified and confirmed by the concerned authority, before the individual completes 1st year MBBS/BDS course. The concerned candidate and parents should take necessary steps to that effect. Unless proof of authenticity of community certificate is received, the candidate will not be allowed to continue the 2nd year. IV. METHOD OF SELECTION AND ADMISSION : 20. (i) Ranking will be made on merit on the basis of marks obtained by the eligible candidates in the prescribed science subjects in the qualifying examinations reduced to the base of 200 marks. The marks obtained through different boards will be taken into account after normalization. CALCULATION Weighted Total Marks for a maximum of 200 Percentage in Biology (after normalization) (X) Percentage in Physics and Chemistry taken together (after normalization) (Y) Percentage in Botany and Zoology taken together (after normalization) (Z) Weighted total marks for a maximum of 200 Either (X+Y) OR (Z+Y) The percentage and the weighted total should be accurate to two decimals. ii) Ranking of the candidates will be done based on the total marks obtained in the relevant science subjects after normalization of marks computed to a maximum of 200. iii) a) The improvement marks of any year in +2 examination are not valid and only the marks obtained in the first appearance in the qualifying examination will be taken into consideration for the selection and allotment of candidates to M.B.B.S./B.D.S. Course. b) If claiming of improvement marks for selection to MBBS / BDS is detected at any point of time it will lead to cancellation of selection and removal of his/ her name from rank list. c) Any application submitted without the latest attested Xerox copy of the first appearance mark sheet of the qualifying examination will summarily be rejected. 21. DETERMINATION OF RANK OF CANDIDATES OBTAINING EQUAL MARKS ( Inter-se Merit ): In cases, where two or more candidates obtain equal aggregate marks for 200, the rank of such candidates shall be determined on the basis of the following order, 10

namely:i) Percentage in Biology or Botany and Zoology taken together in +2 examination ii) Percentage in Chemistry in +2 examination iii) Percentage in Fourth optional subject in +2 examination iv) Date of birth weightage given to seniority in age. v) Computerized random number assigned. Higher value of random number will be taken into consideration. V. MERIT LIST : 22. The Secretary, Selection Committee will draw a merit list and publish the same at the notice board of Selection Committee, Directorate of Medical Education and on the website: http://www.tnhealth.org / www.tn.gov.in. 23. The candidates will be called for counselling as per their merit and they may exercise their option as per their eligibility norms mentioned in the Prospectus. VI. COUNSELLING PROCEDURE ( SINGLE WINDOW SYSTEM): -

24. The selection will be made on merit basis and by Counselling applying the rule of reservation by the Government of Tamil Nadu as follows:Open Competition Backward Class Back ward Class (Muslim) Most Back ward Class Scheduled Caste Scheduled caste Arunthathiyar Scheduled Tribe 31 26.5 3.5 20 15 3 1 % % % % % % %

BC, BCM, MBC / DNC, SC , SCA , ST candidates are eligible for Selection under Open Competition as per merit in addition to the reservation made for them. 25. Counselling Schedule will be available on the website. Candidates who have not received the call letter in time can also attend the counselling session as per schedule and as per their merit. 26. Counselling for the Special Categories will be done before the General category. There will be no reallotment / change of college allotted for the Special Category. 27. (i) Option once exercised during counselling will be final and cannot be changed . (ii) a) Candidates who fail to attend the counselling at the specified date and time will forfeit their right to admission and their name will not be considered later. b) Due to unforeseen reasons, If a candidate could not attend the Counselling on the specified date and time he / she can attend on a subsequent time / date during that Counselling phase and allowed to take the course and college available at the time of Counselling when he/she actually attends. 11

( or ) He / She can authorize his / her parent on his / her behalf and the parents decision will be binding on the candidate. The authorization letter must be in the prescribed format in the Annexure XIV( a & b) If the candidate is absent during the 1st phase of counselling, he / she cannot attend the 2nd phase of Counselling. 28. One of the Parents or Guardian will be allowed to attend the Counselling. They should make their own arrangements for attending the counselling session. Individual intimation will be sent for regular counselling through call letters. 29. All communications will be sent only to the mailing address given in the application and self addressed envelopes (Size 23 X 10 cms). Candidates are requested to intimate any change of address immediately. The intimation / call letters will be sent either by Certificate of Posting, Registered Post, Speed Post, Courier Service or by Telegram whichever is feasible. Selection Committee is not responsible for any postal delay or non receipt of call letters. 30. (a) Candidates can exercise their option for the course and the college of their own choice at the time of counselling and allotment will be subject to availability of seats. (b) They are eligible to attend the counselling for reallotment of Colleges. The date of such counselling will be published in the website and also will be informed to the Deans of respective Medical / Dental Colleges. No individual intimation will be sent to the candidates. 31.(a) Re-allotment will be made only for those who have joined the course within the stipulated time. (b) Re-allotment for the vacancies arising due to not joining of the candidates both in the State Quota / All India Quota in government colleges and newly created seats will be done on merit / community basis subject to the availability of sufficient time before the cut off date prescribed by the Medical Council of India / Tamil Nadu Dr.M.G.R. Medical University. (c) Re-allotment is not a matter of right of the candidate. Re-allotment will be done only through counselling on merit basis following the communal reservation if vacancies are available. If sufficient time is not available vacancies will be filled up with the candidates from the waiting list on merit basis only. (d) Those who obtained allotment order to a particular course in a particular category and college during the counselling but do not join within the stipulated time the particular course and college to which they are allotted will not be considered for admission at any point of time later for that particular category. 32. Those who obtain Retotalled / Revalued marks can also attend the counselling on the day and session according to their new marks. If the candidate produces the Retotalled / Revalued marks after the counselling is over and within the cut off date, then his/her name, will be considered only in the existing vacancies available and he/she cannot claim any preferential rights for allotment according to merit under 12

Retotalling / Revalued marks. Candidates who submit the Revaluation / Retotalling marks after the administrative cut-off dates fixed by Government will not be considered for selection. 33. The vacancies due to not joined seats in State Quota or surrender of All India quota seats or newly sanctioned seats arising after the first phase of counselling will be filled by reallotment as per merit and communal reservation for the already allotted and joined candidates. The consequential vacancies after re-allotment will be filled up with the candidates in the wait list following the merit and community in which the vacancies arise. 34. The movement of candidate from one category to another category and from one college to another college will be based on the merit following the rule of reservation. 35.(a) If a candidate chooses a Government Quota seat in Self-Financing College category when seats are available in Government Medical / Dental college he/she has to give a declaration to the effect that he/she will not be permitted to claim the Govt. seats later during re-allotment / subsequent phase of counseling. (b) If a candidate opts out Government Quota in self-financing college category when the seats are available in Self financing Medical/Dental Colleges he/she cannot claim it during subsequent phase of counselling. (c) If candidates opt out they must mark as NO in the column provided in the counselling form. If not marked in the counselling form it will also be considered as NO. (d) If seats are not available in a particular category/ categories at the time of counselling and candidates are willing to be waitlisted in that category / categories of seats they must mark WL in the column(s) provided in the counselling form. If not marked in the counselling form, they will not be considered as waitlisted in that category/ categories. 36. Candidates getting allotment through court order before cut off date will be given a seat in the existing vacancies available at the time of counselling when he/ she actually attends. 37. Individual request for transfer of college will not be entertained during or after Counselling. 38. Mutual transfers will not be permitted under any circumstances. VII. ALL INDIA SURRENDERED SEATS : 39 (a) 15% of the total seats in each Government Medical/Dental College are reserved for All India Quota. (b) If MBBS/ BDS seats earmarked for All India Quota are surrendered back by the Director General of Health Services, New Delhi, the vacancies will be added to the General Pool and will be filled up with the candidates from the merit list applying the rule of reservation followed by the Government of Tamil Nadu. 13

VIII.

CATEGORIES OF SEATS : -

40. Choice of Candidates : a) Candidates can exercise their option for allotment of seats subject to availability in any of the categories listed in succeeding para. If no seats are available in the particular category, he / she can be waitlisted. b) No candidate can opt to be waitlisted for a particular college. c) When a candidate is absent / opted out for the Counselling to self financing Medical / Dental colleges to which he/she is called , he /she will not be considered for that particular category. But he/ she will be wait listed for Government Medical / Dental college. 41. (i) Category I - Government Medical Colleges:Seats available in MBBS course in Government Medical Colleges (ii ) Category II Government Quota In Self Financing Medical Colleges:(a) 65% of the total MBBS seats in Self-Financing Non-Minority Medical Colleges including IRT Perundurai Medical College, which is run by the Institute of Road Transport. (b) 50% of the total MBBS seats in Self-Financing Minority Medical Colleges. (iii) Category III - Government Dental College:BDS Seats available in Tamil Nadu Government Dental College. (iv) Category IV Government Quota In Self Financing Dental Colleges: (a) 65% of the total BDS seats in Self-Financing Non-minority Dental Colleges. 50% of the total BDS seats in Self-Financing Minority Dental Colleges. Note: (a) Selection Committee will allot candidates to the colleges based on merit following the rule of reservation and subject to availability. (b) The seats offered by Self-financing Medical / Dental Colleges will be filled up on merit basis from the merit list published by the Selection Committee for 2011-12 following the rule of reservation in force in Tamil Nadu. (c) The fee structure for Self-financing Medical and Dental Colleges will be adopted as fixed by the Committee constituted by the Government of Tamil Nadu for that purpose. (d) The actual number of seats offered by the Self Financing Medical/Dental Institutions will be displayed at the time of counselling.

14

42. SPECIAL CATEGORIES : Seats Reserved for Special Categories in Government Colleges:Seats earmarked for the special categories will be allotted following the Horizontal Reservation. The Seats will be allotted as per merit order in the concerned special category and those seats will be deducted in the concerned compartment (OC/ BC/ BCM/ MBC/DC/ SC/ SCA/ST) and the remaining seats will be allotted to the General Category. If no eligible candidates are available for the seats earmarked under special category, those seats will be added to general pool and alloted on merit basis. (i) Seats Reserved for Children of Freedom Fighters NO. OF SEATS RESERVED IN M.B.B.S. 3 Adopted/Foster son/daughter are not eligible to seek admission under this category. The Candidates while applying under the Special Category mentioned above should furnish the following copies of documents along with the application. a. Assistance Certificates / Freedom Fighter Pension Orders issued by the Central / State Government to the freedom fighter. ( or ) Jail Extract duly recommended by the District Committee for the Freedom Fighters. b. Particulars of the Freedom Fighter in the book containing Freedom Fighters name published by Government of Tamil Nadu. c. Proof that the candidate is the child of Freedom Fighter. d. Tashildar Certificate to establish the relationship with the Freedom Fighter. e. Birth Certificate to ascertain the parentage of the candidate. f. Legal heir certificate of the Freedom Fighter. The other eligibility conditions for admission to MBBS course will be applicable as in the case of General Category. (ii)Seats Reserved for the Children of Ex-Servicemen : NO. OF SEATS RESERVED M.B.B.S. - 2 B.D.S. - 1 The candidate should furnish a certificate as prescribed in the format in the Annexure II, obtained from the competent authority. The special committee from the Defence authorities constituted for this purpose will scrutinize certificates submitted by the candidates. Eligible candidates will be selected on merit basis. The other eligibility conditions for admission to MBBS/BDS course will be applicable as in the case of General Category. (iii) Seats Reserved for Eminent Sportsperson : NO. OF SEATS RESERVED IN M.B.B.S. - 3 Selection will be done by the Common committee constituted for this purpose at Anna University, Chennai. The mode of selection will be made as per the guidelines given in Annexure III (a). The candidates should submit the filled-in Special Category Form II along with 15

two sets of attested Xerox Copies of certificates and testimonials of sports along with common application form (General Category) in the office of the Selection Committee in person on or before the last date prescribed for submission of application. Selection Committee is not responsible for the application sent by Post / Courier for this category. Selection will be made by the common committee at Anna University. Decision of the common committee shall be final. The candidates are requested to arrange the certificates as per the serial number starting from June 2007 as given in the Annexure III (b) and submit them along with the applications in person. All the particulars are to be filled up as per the guidelines given in the Annexure III (a). The other eligibility conditions for admission to MBBS course will be applicable as in the case of General Category.. (iv) Seats Reserved for Orthopedically Physically Disabled: 3% of the total number of seats available in Government Medical / Dental Institutions are reserved for the Orthopedically Physically disabled candidates. In the first instance in the reservation of seats, candidates with disability of lower limbs between 50% to 70% shall be considered and in case candidates are not available in that category then candidates with disability of lower limbs between 40% to 50% may be considered. The other conditions for admission into MBBS / BDS Course will be applicable as in the case of the general category. The candidates are required to produce a certificate from the District Medical Board of the area concerned constituted for the purpose assessing the nature and the extent of disability in the format prescribed in the Annexures - IV (a) & (b). The Certificate must have been obtained within three months prior to submitting the application for seeking admission under this category . If the Certificate has been obtained earlier, the application will be rejected. The Medical Certificate issued by District Medical Board of the area concerned for this purpose is subject to the confirmation by the Expert Committee constituted by the Director of Medical Education at the time of counselling. The Candidate seeking admission under this category should produce a full size photograph exhibiting the deformity. Note: 1. The selected candidates for MBBS/BDS course will be required to undergo second Medical Examination by a Medical Board constituted for the purpose by Director of Medical Education to ascertain and confirm the nature and extent of physical disability. 2. Candidates with any other disability other than the locomotory disability of the lower limb will not be considered for admission into MBBS/BDS Course under this Special Category. Such applications will be summarily rejected without any intimation to the candidate. 3. The decision of the Director of Medical Education in this regard will be final.

16

43. DURATION OF THE COURSES : M.B.B.S. B.D.S. : : 5 years including one year Compulsory Rotatory Resident Internship. 5 years including one year Compulsory Rotatory Resident Internship.

IX.

44. TUITION FEES : -

COURSE S.NO. 1 MBBS

FEES FOR GOVT. COLLEGES ( Per Annum) Tuition fees Special fees ( incl Medical Exam) Caution Deposit Library fees University fees HSC Verification fees LIC(Gp Insurance) Red Cross Miscellaneous fee Flag Day Total Tuition fees Special fees ( incl Medical Exam) Caution Deposit Library fees University fees HSC Verification fees LIC(Gp Insurance) Red Cross Miscellaneous fee Flag Day Total : : : : : : : : : : : : : : : : : : : : : : 4000 950 1000 1000 4910 50 170 10 100 100 12, 290 2000 950 1000 1000 4910 50 170 10 100 100 10, 290

BDS

17

Course

Self Financing College IRT, Perundurai Medical College, Perundurai. Sree Mookambigai Medical College, Kulasekaram

Tuition Fee for 2011 2012 2.50 Lakhs 2.30 Lakhs 2. 50 Lakhs 2.50 Lakhs 2.25 lakhs

MBBS

PSG Medical College, Coimbatore Adiparasakthi Medical College, Melmaruvathur Karpaga Vinayaga Medical College, Chinnakolambakkam, Madurantakam , Kanchipuram District Chennai Medical Hospital & Research Centre, Trichy Tagore Medical College, Vandalur Sree Muthukumaran Medical College,Mangadu, Chennai

2.25 lakhs 2.25 lakhs 2.25 lakhs

BDS

All Self Financing Colleges

85,000/ -

Any modification in the Fee for 2011 2012 will be fixed by the fee committee and will be informed during counseling. (a) Detailed information regarding, Scholarship, Fee Concession, Hostel Facilities, etc. can be obtained from the Head of the Government Institution in which the candidate joins. (b) Candidates selected to Government Colleges shall pay the tuition fee in total as 9290/- for BDS for SC / ST prescribed in clause 44 ( 10290 /- for MBBS & candidates ) by way of Demand Draft drawn in favour of The Secretary, Selection Committee, payable at Chennai . After receipt of the joining report from the Deans of the respective colleges, this amount will be transferred to the colleges concerned. This fee is not refundable. If the candidate does not join the institution on the stipulated date mentioned in the allotment order, he / she has to forfeit the amount paid during counselling, and the seat already allotted will automatically stand cancelled. Those candidates who do not join or discontinue the course will also forfeit the amount. (c) Candidates selected to the Government Quota seats in Self Financing Institutions will have to remit a sum of 25000/- by means of a Demand draft drawn in favour of The Secretary, Selection Committee, Chennai, at the time of counselling for allotment of seats. This will be adjusted towards the tuition fee that has to be paid to the colleges and the balance amount towards tuition fee has to be paid in the 18

respective colleges at the time of joining the course. Those candidates who discontinue the course will forfeit the amount. For those candidates who do not join the allotted Government Quota seats in Self 25000/- will be refunded only if the Financing Institutions, 50 % of this fee of candidate surrenders the allotment order to the Selection Committee before the date specified in the allotment order issued to the candidate during counseling of the 2011-2012 session. (d) All the Candidates selected for MBBS / BDS course during the counselling will have to remit a non-refundable amount of 500/- by means of Demand Draft drawn in favour of the Secretary, Selection Committee as processing fee for allotment and reallotment in each category of seats. 45. The Selected Candidates should produce all the original documents at the time of admission to the Deans/Principals of Medical/Dental Colleges concerned. Selection will be cancelled if the candidates do not produce the original documents at the time of admission. 46. The candidates will be required to undergo Medical Examination at the College to which they are allotted before the Medical Board on the date notified by the authorities of the college. Only those candidates found medically fit, will be admitted and be permitted to pay the fees. X. BOND :47. (i) Candidates selected for admission and his/her parent / Guardian will have to execute an Agreement Bond during admission to College as prescribed in Annexure VII. Failure to execute the Agreement Bond will lead to cancellation of selection. (ii) Candidates who discontinue the course between 25th September and 29th September of the year of admission are bound by the bond and thereby they shall have to pay a sum of 50,000/- as a penalty for having breached the contract in the bond and the candidates who discontinue the course on or after 30th September of the year of admission and in any date of the subsequent years shall have to pay a sum of 5,00,000/- as penalty. Note:- This penalty is only for candidates who discontinue the course and not for reallotment and movement from one to another category. (iii) Those candidates who fail to comply with clause 3(i) of the bond in Annexure VII of the prospectus shall have to pay a sum of 3,00,000/- as penalty for having breached the contract in the bond. 48. Candidates selected for admission and his / her parent / guardian will have to sign the discipline declaration form in Annexure X Failure to sign the declaration will result in the cancellation of selection 49. No admission / re-allotment / transfer shall be made after 30th September 2011 for the academic year as per the guidelines issued by the Medical Council of India ,DGHS and The Tamil Nadu Dr MGR Medical University. 19

50. All Selections and admissions for MBBS/BDS Course are only provisional. The Selection and admission is liable to be cancelled at any time as and when the eligibility conditions are found to be defective or incorrect or there has been suppression or misrepresentation of facts. The Selection committee reserves the right of allotment of MBBS / BDS seats. 51. Candidates selected for admission to MBBS / BDS Course are not guaranteed any appointment in Government Service. XI COMMUNICATION :52. (a) All intimation for communication to the candidates will be sent only to the mailing address given by the candidate at the time of application. The intimation / call Letters will either be sent by Certificate of Posting or Registered Post or Speed Post or Courier Service or Telegram or in the website whichever is feasible depending on the availability of time before counselling. Selection Committee will not be held responsible for the Postal Delay and non-viewing of website. (b) Candidates should inform the change of address, immediately to the Selection Committee. If the change of address is not intimated to the Selection Committee in time, the Selection Committee will not be responsible for delay in communication or its consequences. The merit list will be published on the Web site www.tnhealth.org / www.tn.gov.in as well as the notice board in the Selection Committee, Directorate of Medical Education. Chennai 10. 53. HEPATITIS-B-VACCINATION: All Candidates selected for admission to first year M.B.B.S./B.D.S. Course should take the HepatitisB-Vaccine before admission and produce a certificate as in Annexure VIII.

XII. RAGGING:54. The candidates who join MBBS/BDS course should not indulge or participate in any kind of ragging. If they are found to have indulged in ragging in the past or noticed later, the candidates will be removed from the roll of the institution at whatever stage of study and criminal action will be taken against the candidates.

DIRECTOR OF MEDICAL EDUCATION

20

SELECTION COMMITTEE , DIRECTORATE OF MEDICAL EDUCATION, KILPAUK, CHENNAI.

Verified by
.
COUNSELLING FORM FOR M.B.B.S / BDS IN GOVT COLLEGES & GOVT QUOTA IN SF COLLEGES 2011 2012 SESSION A.R No General Rank Community Rank 1. Name : : : : 2. Date Of Birth 4. Community Date :

: : / 200

3. Address :

Contact No :
8. COURSE MBBS CATEGORY III GOVERNMENT DENTAL COLLEGE BDS CATEGORY I GOVERNMENT MEDICAL COLLEGES

5. Total Marks : 6. Revised Marks : ( Evidence to be produced ) 7. Special Category :

CATEGORY II GOVERNMENT QUOTA IN SELF FINANCING MEDICAL COLLEGES

CATEGORY IV GOVERNMENT QUOTA IN SELF FINANCING DENTAL COLLEGES

Name of the college _________________________________________________________________________ ( To be filled by the candidate at the time of counselling ) ( i ) If you are willing / not willing for any category please write yes or no in the relevant boxes. If not filled it will be considered as no . ( ii ) If you are wiling to be waitlisted please put WL in the relevant box. If not filled it will not be considered to be waitlisted . ( iii ) Option once exercised for allotment during counselling cannot be changed at any point of time . 9. If a candidate is not willing for taking seats in any category ( Govt / Govt quota in SF colleges )when the seats are available in his/ her turn he / she has to sign the declaration as given : I am aware that seats are available in Govt / Govt quota in SF colleges for MBBS / BDS course. I am not willing to take up the seat in Govt / Govt quota in SF colleges for MBBS / BDS course. I fully understand that I will not be eligible to reclaim the above category seat in future . PARENTS SIGNATURE CANDIDATES SIGNATURE _____________________________________________________________________________________________________________________ For office use only COLLEGE ALLOTTED : COURSE CATEGORY COMMUNITY WAITLISTED MBBS GOVERNMENT COLLEGES GOVT. QUOTA IN SF COLLEGES GOVERNMENT COLLEGES BDS GOVT. QUOTA IN SF COLLEGES GOVERNMENT COLLEGES OC BC BCM MBBS GOVT. QUOTA IN SF COLLEGES MBC SC SCA ST GOVERNMENT COLLEGES OC BC BCM BDS GOVT. QUOTA IN SF COLLEGES MBC SC SCA ST

DDME ( UG )

SECRETARY SELECTION COMMITTEE

21

To be filled by the candidate Marks obtained in + 2 Exam Physics Chemistry Biology Total Marks : : : / 200 : ( 1st appearance ) Reg. No Botany Zoology and Year : : :

UNDERTAKING I , _________________________________________ S/o , D/o Thiru ____________________________________ selected for MBBS / BDS , in Govt / Govt quota in self - financing seat at ________________________________ do hereby agree to abide by the rules and regulations as prescribed by the TN Dr. M.G.R. Medical university for registration and all other conditions stipulated in the prospectus . SIGNATURE OF THE PARENT DECLARATION 1. I am fully aware that Seats are available in Government Medical/Dental Colleges at the time of Counselling at my turn. As I am willing to join in Self Financing Colleges, I declare that I will not claim the Government Medical / Government Dental seats in the subsequent phases of counselling. 2. I am fully aware that seats are available in Self Financing Medical Colleges. I am not willing to join in Self financing Medical colleges and I declare that I will not claim the Self Financing Medical Seats in the subsequent phases of counselling. SIGNATURE OF THE PARENT SIGNATURE OF THE CANDIDATE ( I have signed this declaration only after reading and understanding it completely) SIGNATURE OF THE CANDIDATE

_____________________________________________________________________________________________ PAYMENT DETAILS : ( To be filled by the candidate allotted seat in the counselling) ( 1 ) D.D No _______________Date ______________ Bank ________________ Amount_________________ ( 2 ) D.D No __________________ Date ______________ Bank _____________Amount _________________ 1. I am aware that if I am allotted to Government Colleges I shall pay the tuition fee as prescribed in clause 44 and that this fee is not refundable. 2. I am aware that if I am allotted to the Govt Quota seats in Self Financing Institutions I have to remit 25000/a sum of 3. I am aware that if I discontinue the allotted Government Quota seat in Self Financing Institutions the fee ( 25000/- ) is not refundable. 4. I am aware that if I do not join the allotted Government Quota seat in Self Financing Institutions within the specified date for joining , I will be eligible for refund of 50 % of this fee ( 25000/- ) paid only if I surrender the allotment order to the selection committee before the date specified in the order. Other wise the amount will not be refundable. The refundable fee will be issued only after the cut off date ( 30.09.2011).

SIGNATURE OF THE PARENT

SIGNATURE OF THE CANDIDATE

22

ANNEXURE - I

SPECIAL CATEGORIES WITH CODE NUMBERS

Seats reserved in MBBS For Government Institutions Sl.No 1 2 3 4 Code No. 01 02 03 04 Special Category Children of Freedom Fighters Children of Ex-servicemen Eminent Sportsperson Physically Disabled Seats Reserved in BDS 1 2 05 06 Children of Ex-Servicemen Physically Disabled 1 3% No. of seats reserved 3 2 3 3%

23

ANNEXURE - II EX-SERVICEMEN (For the Children of Ex-Servicemen of Tamil Nadu Origin Army / Navy / Air Force Service Particulars) This is to certify that Selvan / Selvi __________________________ is the son / Unmarried Daughter of the undermentioned Ex-serviceman. Rank Regimental No. Name Name of the Unit in which last served Date of Enrollment Date of Discharge Whether Disabled in Service Name of the Corps / Service Character assessed at the time of discharge : : : : : : : : :

STATION : DATE: Office Seal

Signature : Name & Designation:

NOTE : This Certificate is to be issued by the Officer in the department of Ex-Servicemen Welfare Board not below the rank of Assistant Director of candidates native District ExServicemen Welfare Board.

24

ANNEXURE III (a) SELECTION OF CANDIDATES UNDER QUOTA FOR EMINENT SPORTS PERSONS 1. The purpose of this quota is to recognize and give weightage to the sports eminence of the candidates and hence marks for sports achievements alone will be considered in ranking the candidates. The candidates are expected to continue good performance in sports, even after selection. The Highest achievement of the candidate in only one annual tournament in the sports disciplines in a year will be considered for awarding marks. Selection of the candidate will be based on the marks obtained by the candidate, following the guidelines given in the table below : Table (I) Marks for International Achievement Gold Silver Bronze 500 350 450 300 400 250

2. 3.

Competition International (Representing India Category-I) International (Representing India Category-II)

Participation 150 125

Table (II) Marks for Recognized National Achievement Allocation of marks Sl. Competitions ParticiNo. Gold Silver Bronze pation National Championships Organized by 1. 190 160 130 50 National Federations School Games Federation of India (SGFI) 2. 190 160 130 50 Meet (National Level) 3. All India Rural Sports Meet (National Level) 190 160 130 50 National Sports Festival for Women 4. 190 160 130 50 (National Level) National Inter School Competition 5. 190 160 130 50 (National Level) Table (III) Marks for Recognized South Zone Achievement Allocation of marks Competitions Gold Silver Bronze Participation South Zone Tournaments / Meets - organized by State Associations 120 110 100 20 and Federations

Sl. No. 1.

25

Table (IV) Marks for Recognized State Championships Sl. No. 1. Competitions State Championship Representing Revenue District - Organized by State Associations Allocation of marks
Gold Silver Bronze Participation

95

80

65

15

Table (V) Marks for Recognised State Level Achievements Sl. Competitions No. 1. Bharathiar Day Sports Meet (State Level) 2. Republic Day Sports Meet (State Level) 3. State Inter School Competition (State Level) KVS/CBSE National Sports Meet 4. (State Level) PYKKA (Panchyat Yuva Krida Aur Khel 5 Abhiyan) State Rural Competition Allocation of marks
Gold Silver Bronze Participation

80 80 80 80 80

65 65 65 65 65

50 50 50 50 50

10 10 10 10 10

Table (VI) Marks for Divisional Level Achievements Sl. No 1. 2. 3. 4. 5. Competitions Bharathiar Day Sports Meet (Divisional Level) Republic Day Sports Meet (Divisional Level) KVSRegional /CBSE South Zone Meet (Divisional Level) District Inter School Competition (Divisional Level) PYKKA District Rural Competition(Divisional Level) Gold (I Position) Silver (II Position) Allocation of marks
Gold Silver Bronze Participation

45 45 45 45 45

30 30 30 30 30

15 15 15 15 15

5 5 5 5 5

Bronze (III Position)

4.(a) For International Tournaments: Category I : Olympics, World Cup / World Championship, Commonwealth Games, Asian Games, Asian Championships, Junior World Cup / World Championships, Asian Junior Championships, World University Games / Championships, World School Games, Afro Asian Games, South Asian Federation Games and Junior South Asian Federation Games. : All other International tournaments not covered under Category I and wherein not less than six countries had participated and events approved by IOA and cleared by SAI/Government of India.

Category II

26

1. Participation / achievement in International tournaments will be considered only with earlier achievements at National / State Level Tournaments. 2. Only tournaments officially recognized by the Indian Olympic Association / respective official National Federations will be considered for the award of marks (for each year) (1.6.2007 to 31.5.2008, 1.6.2008 to 31.5.2009, 1.6.2009 to 31.5.2010 and 1.6.2010 to 31.5.2011). 3. Participation / Achievements in tournaments, with Form I alone are eligible for marks indicated in Table (I) above.

(b) For National Tournaments: 1. The highest achievement in only one annual tournament, officially recognized as the regular annual championship / tournament by Indian Olympic Association/ SDAT / SAI / respective official National Federation will be considered (for each year) for the award of marks. 2. Marks will not be awarded for selection trials. (c) For State Tournaments: 1. The highest achievement in only one annual tournament, officially recognized as the regular annual championship / tournament by SDAT / SAI / respective official State Association will be considered (for each year) for the award of marks. 5. General conditions : 1. For consideration of candidates seeking admission under the category of eminent sports person, he/she should enclose attested photo copies of participation certificates and the Forms issued by the relevant sports authorities along with the application.

2. Participation / achievements from 01.06.2007 to 31.05.2011 (1.6.2007 to 31.5.2008, 1.6.2008 to 31.5.2009, 1.6.2009 to 31.5.2010 and 1.6.2010 to 31.5.2011) in sports / games shown in the list alone will be taken into account. National / State Level Championships / Tournaments conducted by organizations recognized by Indian Olympic Association / Sports Development Authority of Tamil Nadu (SDAT) / Tamil Nadu Olympic Association (TNOA) alone will be considered for award of marks. (Recognition should be relevant to the year concerned). 3. The relevant attested copies of certificates issued by the appropriate authorities as detailed below are to be submitted along with the application.

27

Category International (Representing Nation) National (Representing State) National (Representing State) School Games Federation of India (SGFI) (National Level) National Inter School Competition (National Level) All India Rural Sports (National Level) National Sports Festival for Women (National Level) PYKKA (Panchyat Yuva Krids Aur Khel Abhiyan) National Level Rural Tournament KVS Nationals (State Level) CBSE National Sports Meet (State Level) Bharathiar Day Sports Meet (State Level) Republic Day Sports Meet (State Level) State Inter School Competitions (State Level) PYKKA (Panchyat Yuva Krids Aur Khel Abhiyan) State Rural Competion Bharathiar Day Sports Meet (Divisional Level) Republic Day Sports Meet (Divisional Level) KVS Regional Level (Divisional Level)

Competent Authority President / Secretary of the National Sports Federation (recognized by IOA) Member Secretary, SDAT/ Secretary of the State Association (recognized by SDAT / TNOA) Chief Inspector of Physical Education for National School Games Competitions President / Hon.Gen.Secretary, SGFI

Form / Certiicate Form I Form II Form IV Certificates

Executive Director / Director General, Sports Certificates Authority of India Executive Director / Director General, Sports Certificates/ Authority of India Form II Executive Director / Director General, Sports Certificates/ Authority of India Form II Executive Director / Director General, Sports Certificates Authority of India Commissioner / Joint Commissioner of KVS A.E.O. Sports / Secretary, CBSE Regional Inspector of Physical Education and Chief Inspector of Physical Education Regional Inspector of Physical Education and Chief Inspector of Physical Education Member Secretary, Sports Development Authority of TamilNadu Member Secretary, Sports Development Authority of TamilNadu Certificates Certificates Certificates Certificates Certificates Certificates

Regional Inspector of Physical Education and Chief Certificates Education Officer Regional Inspector of Physical Education and Chief Certificates Education Officer Assistant Commissioner of KVS Certificates

28

CBSE South Zone Sports Meet ( Divisional Level) District Inter School Competitions (Divisional Level) PYKKA District Rural Competition District level competitions

A.E.O. Sports / Secretary, CBSE District Sports Officer District Sports Officer

Certificates Certificates Certificates

RIPE(Regional Inspectior of Physical Education) Certificates and District Education Officer

These certificates are not valid unless signed personally in ink by the authorities mentioned above. 4. Open / Invitational Tournaments of any kind will not be considered. 5. For Tennis, the achievements of top three players by his / her position in the ranking list published by AITA / TNTA based on the ranking rules and the final rankings of previous four years, will be awarded marks for achievements and participation (necessary forms from the Associations are to be enclosed). 6. For Cricket, the annual official championship tournaments conducted within the country under the auspices of TNCA/BCCI at District / State / National level alone will be taken into consideration for that year. 7. The participation / achievements of candidates with nativity in Tamil Nadu who represented Tamil Nadu alone are eligible for marks under National Category. 8. Only Tamil Nadu candidates are eligible to apply for admission under Sports Quota and only the KVS/CBSE schools within Tamil Nadu are eligible for marks. 9. A Common Committee for Engineering and Medicine constituted for this purpose will rank the candidates based on the marks assigned to the certificates enclosed along with the application. 10.All the achievement certificates are to be supported necessarily by the relevant participation certificates and appropriate forms. 11.No further enclosures or certificates will be entertained after the last date for submission of completed application form. 12.Required number of candidates will be called to appear for an interview before the Common Committee for Engineering / Medicine for verification of the Originals followed by counselling after ranking. 13.If any candidate fails to produce the requisite Original Certificates / Forms, his / her place will be allotted to the candidate next in rank and so on. The consequential vacancy at the end of the rank list will be filled up from among the additional candidates according to their ranks. 14.Selected candidates will be counselled and allotment of branches and colleges earmarked for this quota will be based on the ranking before the start of the main counselling. 15.A Candidate can utilize the sports quota only once for Engineering / Medicine.

29

SPORTS QUOTA 2011 LIST OF SPORTS DISCIPLINES

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25.

Athletics Atya Patya Badminton Ball Badminton Baseball Basketball Beach Volleyball Billiards and Snookers Body Building Boxing Carrom Chess Cricket Cycling Fencing Football Golf Gymnastics Handball Hockey Judo Kabaddi Karate-Do Kho-Kho Korf Ball

26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51.

Mallakhamb Motor Sports Netball Powerlifting Roller Skating Rowing Rugby Sailing Sepak Takraw Shooting Silambam Soft Ball Squash Rackets Swimming Table Tennis Taek-won-do Tennikoit Tennis Throwball Triathlon Volleyball Weightlifting Wrestling Wushu Yachting Yogasanas

30

ANNEXURE III (b) Name of the Candidate : Application Number : Details of sports certificates enclosed*
Sl. No . Academic Year International / National / State / Divisional Name of the Sports meet Month & Relevant Year Forms (June I/II/IV 2007 to enclosed May 2011 (Yes/No) Eligible Marks (As per the Guidelines) Partici pation Silver (II Position)
(I Position)

Total Marks

1 2 3 4

2010-2011 2009-2010 2008-2009 2007-2008 Total no of Certificates enclosed Total Marks

* The certificates are to be arranged as per the serial number starting from June 2007 and submitted along with the application.

DECLARATION The information furnished above and all the enclosures submitted by me are true. Should it however be found that any information furnished therein is untrue with respect to sports details, I realize that I am liable for criminal prosecution and I also agree to the forfeiture of my seat under sports quota.

Signature of the Parent

Signature of the Candidate Date:

Bronze (III Position)

Gold

31

ANNEXURE IV A A. MEDICAL CERTIFICATE FOR ORTHOPEDICALLY PHYSICALLY DISABLED (To be issued by the District Medical Board) (Locomotory disability of the lower limbs should be between 40% and 70%) The District Medical Board of ------------------------------------- District , ---------------------certify that we have this -------------- --Day of ---------------- 2011 examined the candidate whose particulars are given below: 1. Name of the candidate 2. Fathers name 3. Sex : 4. Age 5. Identification marks 6. a. Orthopaedically handicapped b. Nature of Orthopedic Handicap 7. Extent of permanent disability (mention the % disability) (Upper limbs must be functional and normal) a) 50% to 70% b) 40% to 50% 8. Whether the candidate fulfills the following standard and may be considered for admission to undergo studies in Medical/Dental institutions : (a) Normal Blood Pressure : (b) (c) (d) (e) (f) Mentally normal No visual and auditory handicaps No gross speech disorders Independent in ambulation with or : without calipers but without any support Good standing balance with or without calipers but without any support : : : : : 1. 2. YES / NO : : : :

Yes/No Yes/No Yes/No Yes /No Yes/ No Yes/No

32

(g)

Hand function within normal limits without any aid

: : : : :

Yes/No Good/Not good Yes/No Yes/ No Yes/No

(h) Good control over bowel and bladder (i) a. Is the disability non-progressive ? b. If progressive is the candidate eligible for further studies Height (Normal)

(j)

1. Certified that the above candidate does not have any upper limb disability. 2. Certified that the above candidate has only locomotory lower limb disability.. Signature of the Applicant . 2. Office Stamp Signature Of Members 1. Signature of Chairman of the Medical Board Designation :

Place : Date :

Recent Full size photograph of the candidate exhibiting the deformity duly attested by the medical certificate issuing authority.

Foot Note: 1. Upper limbs should be normal. 2. The above certificate should be issued only by the Medical Board of Medical Colleges of the area concerned constituted for the purpose after due physical examination by board 3. The Candidate seeking admission under this category should produce a full size photograph exhibiting the deformity

33

ANNEXURE IV B. CERTIFICATE OF LOCOMOTORY DISABILITY ( For Admission to MBBS / BDS Courses) Certificate No.. Date..

This is to certify that Aged . Years, Son / Daughter of Mr.. residing at is suffering from and has permanent Physical Impairment of Left /Right /Both Lower Limbs. He/She is Loco motor disabled and has the percentage of . .in figure) (in words ) disability of Lower Limbs. Upper Limbs Right / Left / Both are without any deformity and Functionally Normal He/She is eligible /NOT eligible for admission to MBBS/ BDS Courses as per the MCI/DCI guidelines.

Signature with Name& Seal (Chairman of Board)

Signature with Name & Seal (Member of Board)

Signature with Name & Seal (Member of Board)

Note : 1)The Selected candidates have to under go a second Medical Examination by a Medical Board constituted for the purpose by the Director of Medical Educatio to ascertain and confirm the nature and extent of physical ability. 2) Candidates with any other disability other than the locomotory disability of the lower limb will not be considered for admission under this category. 3) The decision of the Director of Medical Education in this regard will be final.

34

ANNEXURE V SEATS EARMARKED FOR SPECIAL CATEGORY IN GOVERNMENT COLLEGES MBBS

Special Categories Children of Freedom Fighter

Sl.No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

College Madras Medical College Stanley Medical College Madurai Medical College Thanjavur Medical College Kilpauk Medical College Chengalpattu Medical College Tirunelveli Medical College Coimbatore Medical College Govt Mohan Kumara mangalam Medical College K.A.P.Viswanatham Government Medical College Thoothukudi Medical College Kanyakumari Medical College Theni Medical College Vellore Medical College Dharmapuri Medical College Villupuram Medical College Tiruvarur Medical College Total

Eminent Sports person

Children of ExServicemen

Physically Disabled

Total

1 1 1 3

1 1 1 3

1 1 2

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 51

3 3 3 4 4 3 4 3 4 3 4 4 3 3 4 4 3 59

BDS Special Categories Eminent Children of Sports Experson Servicemen 1

Sl.No . 1

College Tamil Nadu Government Dental College

Children of Freedom Fighter -

Physically Disabled 3

Total

35

ANNEXURE VI LIST OF GOVERNMENT / SELF FINANCING MEDICAL / DENTAL COLLEGES FOR MBBS / BDS COURSES MBBS I. Government Medical Colleges 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. II. 1. 2. 3. 4. 5. 6. 7. 8. Madras Medical College, Chennai. Stanley Medical College, Chennai. Madurai Medical College, Madurai. Thanjavur Medical College, Thanjavur. Kilpauk Medical College, Chennai. Chengalpattu Medical College, Chengalpattu. Tirunelveli Medical College, Tirunelveli. Coimbatore Medical College, Coimbatore. Government Mohan Kumaramangalam Medical College, Salem. KAP Viswanatham Govt. Medical College, Tiruchirapalli. Thoothukudi Govt. Medical College, Thoothukudi. Kanyakumari Govt. Medical College, Nagercoil. Vellore Govt. Medical College, Vellore. Theni Govt. Medical College, Theni. Dharmapuri Govt. Medical College, Dhamapuri Villupuram Govt. Medical College. Villupuram. Tiruvarur Govt. Medical College, Tiruvarur.

Self Financing Medical Colleges IRT Perundurai Medical College run by the Institute of Road Transport, Perundurai. P.S.G. Institute of Medical Sciences & Research Institute, Coimbatore. Sree Moogambigai Institute of Medical Sciences and Research Institute, Padanilam, Kanyakumari District. Adhiparasakthi Medical College, Melmaruvathur. Karpaga Vinayaga Institute of Medical Science, Chinna Kolambakkam, Kanchipuram District. Tagore Medical College , Vandalur. Sri Muthukumaran Medical College, Chennai Chennai Medical College Hospital & Research Centre, Irungalur, Trichy.

36

BDS Course III. Government Dental College 1.TamilNadu Government Dental College, Chennai. IV. Self-Financing Dental Colleges 1. Ragas Dental College, Chennai. 2. Rajas Dental College, Vadakankulam, Tirunelveli. 3. Sree Mookambika Institute of Dental Sciences, Kulasekaram, Kanyakumari 4. Sri Ramakrishna Dental College, Coimbatore. 5. K.S.R. Institute of Dental Sciences & Research, Tiruchengode. 6. Adhiparasakthi Dental College, Melmaruvathur. 7. Chettinad Dental College, Padur, Chennai. 8. CSI College of Dental Science and Research Institute, Madurai. 9. Venkateswara Dental College, Thalambur,Kanchipuram district. 10. Karpagavinayaga Institute of Dental Science, Chinna Kolambakkam, Kanchipuram District.. 11. Vivekananda Dental College for Women, Triuchengode. 12. Priyadarshini Dental College, Tiruvallur. 13. Best Dental Science College, Madurai. 14. Tagore Dental College and Hospital, Vandalur. 15. RVS Dental College and Hospital , Coimbatore. 16. Madha Dental College and Hospital, Kunrathur, Chennai. 17. J.K.K Natarajah Dental College & Hospital, Komarapalayam, Namakkal District. Note: Allotment will be made only for colleges for which Medical / Dental Council of India / Government of India / Govt. of Tamil Nadu / Tamil Nadu Dr. MGR Medical University permission are available on the date of counselling.

37

ANNEXURE - VII AGREEMENT BOND FORM FOR CANDIDATES ADMITTED FOR M.B.B.S./B.D.S. COURSE FOR 2011 2012 ACADEMIC YEAR This agreement made this _______day of ______ 2011 between the Governor of Tamil Nadu (hereinafter called the Governor which expression shall, where the context so admits include his successor in Office) of the one part and ___________________ son / daughter of ____________________ resident of ___________________________in the Taluk of district (hereinafter called the candidate) which expression shall, where the context so admits include his/her heirs, executors, administrators and representatives of the other part. WHEREAS the candidate has, on his/her application been selected to undergo training for the M.B.B.S/ B.D.S Course in the Government/Self Financing Medical/Dental College (hereinafter referred to as the said College). AND WHEREAS the candidate has agreed to complete his/her training for the said course, at the said College, subject to the condition hereinafter appearing. Now THEREFORE, this agreement witnesses and it is hereby agreed as follows : (1) The candidate shall diligently complete his/her training for the said course at the said College, shall abide by the rules of the said College for the time being in force regulating the conduct of students at the said College and shall pass all the examinations prescribed for the said Course by the University or the Medical Institution concerned.

(2) Upon passing the final M.B.B.S. Examination the candidate shall serve as Intern for the prescribed period as laid down by the Medical Council Act, 1956 (Central Act 102 of 1956) . (3)(i) The candidate shall, on demand made by the Government within two years from the date of which he/she registers himself/herself as a Medical Practitioner, serve for a period of not less than five years and in such rural areas as the Government may by General or Special orders specify. (ii) Those candidates who fail to comply with clause 3 (i) shall have to pay a sum of 3,00,000/- or as the Government may direct as penalty for having breached the contract in the bond.

38

(4) During the period of Internship under clause (2) and while in service under clause (3) the candidate shall faithfully, diligently and with skill and ability perform his/her duties and observe the rules for the time being in force made by the Governor or the President as the case may be for regulating the conduct of Government Servants. (5) While in service under clause (3) the pay and allowances and other conditions of service of the candidate shall be regulated by the rules and orders of the Government for the time being in force, for the post to which he/she is appointed. Candidates who discontinue the course between 25th September and 29th September of the year of admission are bound by the bond and thereby they shall have to pay a sum of 50,000/- as penalty for having breached the contract in the bond and the candidates who discontinue the course on or after 30th September of the year of admission and in any date of the subsequent years they shall have to pay a sum of 5,00,000/- as penalty.

(6)

(7) Any sum falling due from the candidate under this agreement shall be recovered from him/her as an arrear of land revenue . (8) If any dispute shall arise between the parties hereto in respect of this agreement or any of the provisions herein contained or anything arising hereunto except in respect of matters on which decision of the Government under clause (6) is declared to be final and binding, the same shall be referred to the arbitration of Director of Medical Education whose decision thereon shall be final and binding on the parties. (9) The witness shall bear the stamp duty payable in respect of this agreement if required. In witness whereof the parties hereto have appended their signature hereunto on the dates respectively mentioned against the signature.

WITNESS : 1. 2.

Signature of the Candidate and date /

Signature of the Parent / Guardian (If the Candidate is minor) and full address DATE : Signature of the Director of Medical Education For and on behalf of the Governor.

39

To The Governor of Tamil Nadu WHEREAS, the Governor has, in order to secure due performance of the above agreement, demanded security from the candidate. Now, THEREFORE, in consideration of the admission of the candidate to the said college and his/her continuance there, for training as aforesaid and at the request of the candidate. ______________ S/o D/o _________________ Resident of ______________ in the Taluk of ___________ District of ______________ (ii) _______________ S/o D/o _________________ Resident of ___________ in the Taluk of ___________ District of ______________ (iii) _____________ S/o D/o ________________ Resident of __________ in the Taluk of ___________ District of ______________ Parent/Guardian of the candidate hereinafter called the sureties on behalf of the candidate do hereby jointly and severally agree that in the event of the candidate committing any breach of any term of the above agreement to which breach the decision of the government shall be final and binding on the sureties, we shall pay the Government on demand and without demur the sum of 50,000/-(Rupees Fifty thousand only) / 3,00,000/- (Rupees Three lakhs only) / 5,00,000/- (Rupees Five lakhs only) as the case may be; or as the Government may direct and we hereby bind ourselves and representatives for such payment. We further agree that any sum due hereunder shall be recovered as an arrear of land revenue. We also agree that notwithstanding the provision of Section 133 and 135 of the India Contract Act, 1872 (Central Act IX of 1872) or any other rule of law or equity in that behalf, any indulgence of forbearance shown by the Government to the candidates or any variance in the terms of the contract with the candidate whether with or without the consent of the sureties or either of this shall not operate as a discharge of the sureties obligations under this bond. Signed by us this _____________________day of ________________________ 20___ WITNESS : 1. 1. Signature of First Surety Parent / Guardian of Candidate Full Address : 2. Signature of Second Surety Full Address : 3. Signature of Third Surety Full Address :

(i)

2.

40

ANNEXURE VIII MEDICAL CERTIFICATE FOR ADMINISTRATION OF HEPATITIS-B VACCINATION

I, Dr. ___________________________ Registration No. _______ certify that I have this _____ day of _____ 2011 administered the Hepatitis-B Vaccine to the candidate whose particulars are given below :

1. Name of the Candidate 2. Fathers Name 3. Sex 4. Age 5. Identification marks 6. Dose I/II/III : :

: : : :

Signature of the Applicant

Signature of Medical Officer :

Name and Designation :

PLACE : DATE :

Officer Seal :

41

ANNEXURE IX LIST OF RELIGIONS RELIGION BUDDHISM CHRISTIANITY HINDUISM ISLAM JAINISM SIKHISM OTHERS CODE NO 1 2 3 4 5 6 7 MOTHER TONGUE HINDI KANNADA MALAYALAM TAMIL TELUGU URDU OTHERS CODE NO 1 2 3 4 5 6 7 LIST OF MOTHER TONGUES

ANNEXURE X (A) DISCIPLINE DECLARATION BY THE CANDIDATE I _______ the undersigned, a student selected for admission in the M.B.B.S. /B.D.S. Course in _______ College do hereby agree to conform from this date if I am admitted thereto the rules and regulations including those relating to the hostel laid down or to be laid down hereafter by the Dean for the time being of the College for the due maintenance of discipline at the said College and I assure that I will not join any agitation / Strike of any kind during the course of study. I further agree to make good when called upon to do so to the Government of Tamil Nadu any damage to furniture, apparatus or other articles which may be caused by any carelessness, negligence wantonly on my part. In the presence of: STATION : DATE : Signature of Candidate : Signature of Parent/ Guardian : Occupation & Address :

42

( B) DISCIPLINE DECLARATION BY THE PARENT / GUARDIAN OF THE CANDIDATE I _______ the Parent/Guardian of the above student, also agree that son/daughter/ward will conform to the rules and regulations referred to above. I also further agree to make good when called upon to do so to the Government of Tamil Nadu any damage to furniture, apparatus or to other articles which may be caused by any carelessness, negligence wantonly on his/her part. In the presence of: STATION : DATE : Signature of Candidate : Signature of Parent/ Guardian : Occupation & Address :

( C ) DISCIPLINE DECLARATION BY THE PARENT / GUARDIAN OF THE CANDIDATE I assure that my son/daughter/ward will not join any agitation / strike of any kind during the course of studies. STATION : DATE : Signature of Parent / Guardian : Occupation and Address :

(D) RAGGING DECLARATION BY THE APPLICANT AND THE PARENT/GUARDIAN I, son/daughter/ward of . an applicant seeking admission to MBBS/BDS course hereby solemnly declare that I will not indulge or participate in any kind of ragging and if found to have indulged in ragging in the past or noticed later, I am aware that I will be removed from the roll of the institution at whatever stage of study and criminal action will be taken against me. Signature of the Parent/ Guardian Witnesses - Name and Address 1) Signature of the candidate

2)

43

(E) DECLARATION OF NATIVITY

I s/o.d/o.. an applicant seeking admission to MBBS/BDS course for 20112012 session hereby declare that I am a native of Tamil Nadu and solemnly declare that I will not claim the nativity in any other State. I am also aware that producing a false nativity certificate leads to expulsion of my course of study at any point of time besides initiating criminal action as per law.

Signature of the Parent

Signature of the Candidate

F) DECLARATION OF COMMUNITY

I . s/o.d/o. an applicant seeking admission MBBS/BDS course for 2011-2012 session hereby declare that I belong

to to

.community (sub caste ). I am also aware that producing a false community certificate leads to expulsion of my course of study at any point of time besides initiating criminal action as per law.

Signature of the Parent

Signature of the Candidate

44

ANNEXURE XI

DECLARATION BY THE CANDIDATE FOR PAYMENT OF DUES AS A RESULT OF REVISION OF FEES AS MAY BE DECIDED BY THE GOVERNMENT OF INDIA / THE STATE GOVERNMENT / COMMITTEE APPOINTED BY THE GOVERNMENT FOR THE ACADEMIC YEAR 2011 2012 I ________________ the undersigned, a student selected for admission in M.B.B.S / B.D.S. Course in __________________ college do hereby agree to pay any amount that may become due from me as and when the fee structure is revised, as may be decided by the Government of India or State Government / Committee appointed by the Government for this purpose for the year 2011 2012 . In the presence of : Station Date : Signature of Candidate Signature of Parent / Guardian : Occupation and Address :

ANNEXURE XII DECLARATION / UNDERTAKING ON ALLOTMENT AND RE-ALLOTMENT OF INSTITUTIONS OF SELECTED CANDIDATES FOR ADMISSION TO PROFESSIONAL COURSES IN MEDICINE / DENTAL I_________ the undersigned, a student selected for admission in the M.B.B.S./ B.D.S. Course in _____ College, do hereby agree to abide the regulations prescribed in the prospectus for admission to the Tamil Nadu Professional Courses Medical / Dental 2011 2012 and shall not make any claim for admission to a particular College as a matter of right In the presence of : STATION : DATE : Signature of Selected Candidate : Signature of Parent/Guardian : Occupation and Address :

NOTE :- To be submitted to the Head of the Institution at the time of Admission 45

ANNEXURE XIII INSTRUCTIONS FOR PHOTOGRAPHS 1. Three recent identical passport size photographs with light background are required. 2. Polaroid photographs are NOT acceptable. 3. Photographs must be snapped on or after 1st May , 2011. 4. Photographs must be taken with a placard indicating name of candidate ( as in the application) and date of taking photograph.

5. In case the name and date are written on the photograph after taking it, the application will be rejected. 6. The name and date on the photograph must be clear and legible. 7. Photograph should NOT have cap and goggles. Spectacles are allowed. 8. One photograph each should be pasted ( NOT STAPLED ) on Application Form OMR Sheet.

9. The photograph pasted on the Application Form should be attested by a Gazetted Officer / Headmaster / Headmistress with a clear stamp. 10. Applications not complying with these instructions or with unclear photographs will be rejected. 11. Keep a few identical photographs in reserve for use at the time of admission. Note: If the photograph is not a recent one taken at the time of submitting the application, the application will be rejected.

46

ANNEXURE XIV a. UNDERTAKING REGARDING AUTHORIZATION I,.son / daughter of Mr.agedyears and months, bearing application number..and General Rank in the Merit list for MBBS/ BDS , 2011-2012 session do hereby solemnly affirm and undertake that the decision of my authorized representative, Mr/ Mrs/ Miss Son/ daughter / wife years, of.Mraged. on me and I shall not

regarding selection/ rejection of seat on the date of counseling(..) shall be binding have any claim whatsoever, other than the decision taken by my authorized representative on my behalf on..

Signature of the Candidate Name. Application No General Rank. Address... .

47

b. AUTHORITY LETTER I,.son / daughter of Mr ...bearing application number..and General Rank number.. in the Merit list for MBBS / BDS 2011- 2012 session do hereby authorize, Mr/ Mrs/ Miss. .Son/ Daughter of Mr to represent me on..(Date) before the Selection Committee, Directorate of Medical Education, Chennai for allotment of a seat in MBBS/ BDS courses , 2011-2012 session . The signature and the photograph of the above named Mr/ Mrs/ Miss .are attested below.

Signature of the Candidate: . Name: Application Number: General Rank in the Merit List: Photograph of Candidate attested by a Gazetted Officer

Photograph of authorized Representative attested by the candidate

Signature of authorized Representative duly attested by the candidate

NB: Signature and seal of the attesting authority should cross over the photographs

48

1. 2.

3. 4. 5.

6.

7. 8.

ANNEXURE XV INSTRUCTIONS FOR NATIVITY CERTIFICATE : This Certificate should be issued by an officer of the Revenue Department not below the rank of Tahsildar in the Taluk concerned. This Certificate should not be issued by the Special Tahsildars, Deputy Tahsildars such as Loans, Land Acquisition, Election, Excise and HQs, Deputy Tahsildars, Special Deputy Collectors, Assistant Commissioner of Agricultural Income, Excise, Elections etc. This Certificate should be signed also by the Village Administrative Officer. The Certificate should bear the stamp of the office of the Officer signing the Certificate. Any foreign national irrespective of the period of study in the State will not become eligible to apply for this course. No certificate of Nativity in the State of Tamil Nadu, should therefore be issued to Nationals of other countries for this purpose. The certifying officers should insist upon clear proof of the Nativity of the Parent or Guardian of the candidate and satisfy themselves on the genuineness of the residential qualification. They should be particularly careful in the case of candidates whose mother tongue is not Tamil and whose place of birth is other than Tamil Nadu and who have studied VIII to XII standards outside Tamil Nadu. Residence Certificate will not be considered as Nativity Certificate. The guidelines prescribed for the issue of Nativity Certificate and they are as follows as per Letter No.RA.V(B)16932/2000, dated 3-4-2000 of the Special Commissioner and Commissioner of Revenue Administration, Chepauk, Chennai-5. (i) The parents/guardians of the applicants/students or the applicants themselves should have permanently resided continuously for a period of five years in Tamil Nadu. (ii) Permanently residing for a period of five years should be supported by documentary evidence. (iii) The family ration card, Electoral Roll, Census List if taken recently, documents like sale deed, tax receipt etc. relating to the property owned by either of the parents or by the applicant may be verified. (iv) The Transfer Certificate issued by the School authorities where the applicant had studied last may be verified to know whether he/ she was in the State for five years. (v) Enquiry in the village / place of residence of the neighbour / Village Administrative Officers regarding continuous residing. (vi) To ensure that wrong or incorrect address had not been furnished to obtain the certificate. (vi) The birth place of the present, place of residence of the parent / father, permanent assets, mother tongue, place of education, place of marriage of the applicant / parents, the period of stay in and outside Tamil Nadu can also be considered before issuing certificate.

49

ANNEXURE XVI ( a ) (G.O.(Ms).No: 85, Higher Education (J2) Department, dated: 16.04.2010) CERTIFICATE It is certified that there is no Graduate in the family of Selvan / Selvi .S/O / D/ O Thiru Presently residing at. . And who has applied for Professional courses during the year 2011, is eligible for Tuition Fee exemption as per the G.O.(Ms).No: 85, Higher Education (J2) Department,dated: 16.04.2010.

Sl.No

Name

Relationship Father/ Mother/Brother/ Sister/ Grandfather / Grandmother 3

Age

Educational Qualification

Whether Degree Holder

Station: Date: Headquarters Deputy Tahsildar

Taluk: District :

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ANNEXURE XVI (b) (G.O.(Ms).No: 85, Higher Education (J2) Department, dated: 16.04.2010) FIRST GRADUATE CONCESSION JOINT DECLARATION FORM I hereby declare the details of my family members and their education qualifications to avail the tuition fee Waiver for my studies in professional courses under the scheme of waiver of tuition fees to the students from the family where there are no gradutes Sl.No. Name Relationship Father / Age Educational Whether Mother / Brother / Qualification Degree Sister / Grand Father / holder Grand Mother (1) (2) (3) (4) (5) (6)

I hereby solemnly and sincerely affirm that I am the first person from my family to claim the waiver of Tuition Fee for entire Professional Course of study and there is no graduate in my family so far. The particulars furnished above are true. Should it, however, be found that any information furnished therein is false in material particulars on verification at a later stage, I am liable for criminal prosecution and I also agree to return the amount equal to three times the tuition fee waiver availed by me. Date : Place: SIGNATURE OF CANDIDATE I solemnly and sincerely affirm that I am fully aware of the above declaration and the particulars furnished in the declaration are correct. I am liable for the criminal action/recovery of amount equal to three times of the fees waived, for incorrect particulars furnished. Date Place:

SIGNATURE OF THE PARENT/GUARDIAN

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ANNEXURE XVII

LIST OF DISTRICTS IN TAMIL NADU Code No. 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 Code No. 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

Name of the District Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindigul Erode Kancheepuram Kanyakumari Karur Krishnagiri Madurai Nagapatinam Namakkal Nilgiris Perambalur Pudukottai

Name of the District Ramanathapuram Salem Sivagangai Thanjavur Thiruvallur Thiruchirapalli Thiruvannamalai Thoothukudi Theni Tirunelveli Tiruvarur Thirupur Vellore Villupuram Virudhunagar Others

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INSTRUCTIONS FOR FILLING UP THE APPLICATION FOR MBBS AND BDS COURSES

ADMISSION 2011 2012

1.

APPLICATION CONSIST OF TWO PARTS: Part 1 : Application Form Part 2 : OMR Sheet The Application Form contains 25 items. Sub group of the items of the application is reproduced in the OMR Sheet. METHODS OF ENTERING PARTICULARS IN THE APPLICATION: Particulars required by an item are to be entered in the Application in long hand or in coded form depending on the item. Address for Communication for example, is written in long hand. For certain items, like Medium of Instruction , several alternative responses are listed in tabular form. Each alternative is assigned a code. You must encircle the code which will signify your response to that item. In the case of certain items, like Native District, you respond by writing a code in the box or boxed provided. SUPPORTIVE DOCUMENTS: Documents / Certificates are required in support of the data furnished by the candidate for the following :- Date of Birth, Community Certificate, if applicable, Marks in qualifying examination, Nativity Certificate, if applicable and claim for Special Category seats, if applicable, first Graduate if applicable. Only Attested Xerox copies should be submitted along with the application The originals should be produced at the time of counselling and admission. Attestation of Xerox copies should be done by Grade A or Grade B Officers of the Central / State Government or by the Head of the Institution wherein the candidate studied last. An attested passport size photograph should be affixed to the application form as instructed

2.

3.

4.

APPLICATION FORM: GENERAL POINTS Instructions for filling up the Application form are given, item-wise. you must adhere strictly to these instructions. Two factors may be taken notice of (1) The format in which you furnish your data is of decisive importance (2) The item-descriptions and column-headings in an item might use abbreviated words and / or shortended form of sentences. Explanation / elucidation would be given in the instructions. In view of the foregoing, it is essential that you read the instructions for an item, and then fill up the particulars in the application.

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INSTRUCTIONS : 1 +2 Examination Register Number, Month and Year This number month and year of +2 examination in which the candidate passed all subjects in the first and same attempt. It is an identification at all stages of admission to Professional Colleges and for future reference. Month of the Examination to be entered numerically eg., if the month of the examination is March it may be entered as 03 . Example: SHANMUGA SUNDARAM, E.A. (Note the comma after the name) Self Explanatory Guardians Name to be given only when both the parents are not alive. Self Explanatory Indian nationals (by birth and / or domicile) should encircle 1, Others should encircle 2. Native of Tamil Nadu should encircle code No.1, others encircle 2. 7 A (1) (2) (3) (Self Explanatory) Note: Candidate falling under category 7 A (2) should produce the nativity certificate for eligibility. Furnish the particulars regarding your schooling for the VIII, IX, X, XI and XII standards with correct address including pincode and indicate the name of the State in which the school in situated. In case you have studied in more than one school in any of the standards then, list the particulars, corresponding to the year when you passed that standard. Day, Month and Year of Birth, as per Christian era, should be entered using a two digit number for each. Note that the year is to be specified below. Example: 2nd October 1986 must be entered as 02 10 1986, 15th August 1986 must be entered as 15 08 1986. Classification Abbreviation Other Communities OC Backward Class BC Backward Class Muslim BCM Most Backward Class MBC Denotified Community DC Scheduled Caste SC SC Arunthathiyar SCA Scheduled Tribe ST Code 1 2 2A 3 3 4 4A 5

2 3 4 5 6 7 7A 8

Name in the block letters initials at the end Address for Communication Name of Parent / guardian Sex, Encircle a code Nationality, Encircle a code Nativity Details of Nativity (Encircle a code) School (s) of Study

Date of Birth

10

Community Encircle a Code

54

11

Caste Code

12

Name of the Caste

13

Qualifying Examination Encircle a Code

Choose the code appropriate to your caste and encircle. List of Communities in the prospectus gives the approved list of the various tribes / castes / communities / classes. Confirm that the classification to which you belong is in accordance with these lists. The List of Communities specifies a code for each of the tribes / castes / communities / classes. Obtain the code appropriate to your caste and enter it as a three digit number. One digit per box. Candidates belonging to the O.C. should enter Caste Code as 500. Refer List of Communities. Enter in long hand, the name of the tribe caste / community / class to which you belong. Note: Item 11 is to be filled up only by candidates whose classification is 2, 2A, 3, 4, 4A and 5 OC candidates can skip 11 & 12 items. Qualifying Examination Code H.S.E. (Higher Secondary Examination of 1 Tamil Nadu State Board) SSCE / CBSE (Senior Secondary 2 Certificate Examination or Central Board of Secondary Eduction ISCE (Indian School Certificate 3 Examination OTHERS (Any other examination which 4 has been recognised as equivalent to 1which includes other state board HSC) Religion Code No. Choose the code numbers representing your case and enter in the box

14

Religion

15

15a

Marks obtained in select science subject in the qualifying examination in the first attempt Marks obtained in the fourth optional subject

Buddhism 1 Christianity 2 Hinduism 3 Islam 4 Jainism 5 Sikhism 6 Others 7 Enter the marks obtained in the select science subject and calculate the percentage and weighted average marks as given in the application Enter the marks obtained in the fourth optional subject. In respect of the candidates who have taken Botany and Zoology, enter the sum of marks obtained in Botany and Zoology and also enter the maximum marks accordingly. 55

16

17

If you have been or presently a student of a professional college in Tamil Nadu then furnish particulars. If not, write as Not Applicable (N.A.) Special Category (a) and (b)

18 19 20

Educational status of the family Medium of Instructions Mother Tongue

Between the time of passing your +2 or equivalent examination and till now, did you join and study in any of the Professional Colleges in Tamil Nadu. if so, furnish the Name and Course, year(s) of study(i.e.) from (Month, Year) to (Month, Year) and name and place of the College. Self Explanatory. Enter the name of the special category and code number and enter the application form number of special category in which they applied for. Family includes Grandfather, Grandmother, Father, Mother, Brothers and Sisters. If none of the members of the family is a Graduate put Yes if not put No Encircle the code in which medium you have studied. Mother Code Choose the code numbers Tongue No. representing your case and Hindi 1 enter in the box Kannada 2 Malayalam 3 Tamil 4 Telugu 5 Urdu 6 Others 7 The Classifications are self explanatory.Candidates should encircle the codes appropriate to them. Details regarding Guardian should be given only when both parents of a candidate are not alive. Encircle a code appropriate to them. Native Place is defined here as the village / town / city your hail from. The classification given in the table are self explanatory. Encircle a code appropriate to them. School Place is the place of the School in which you completed your XII standard studies. The classification given in the table are self explanatory. Encircle a code appropriate to them. Refer the Annexure XVII of Prospectus, obtain the code for your native district and enter it as a two digit number.

21 22 23

Occupation of Parent / Guardian. Average monthly income of Parent / Guardian. Civic status of your Native Place Civic status of School Place. Native District Code

24

25

56

57

58

59

60

61

62

LIST OF COMMUNITIES

2011-2012 SESSION.
LIST SHOWING THE SCHEDULED CASTES, SCHEDULED TRIBES, BACKWARD CLASSES, BACKWARD CLASS- MUSLIMS,MOST BACKWARD CLASSES AND DENOTIFIED COMMUNITIES IN THE STATE OF TAMILNADU

CANDIDATES ARE INFORMED TO REFER TO THIS APPENDIX WHILE FILLING THE COMMUNITY SUB CASTE CODE IN THE APPLICATION & CODING SHEET

63

ANNEXURE
LIST OF BACKWARD CLASSES, MOST BACKWARD CLASSES, DENOTIFIED COMMUNITIES THROUGHOUT THE STATE OF TAMIL NADU UNLESS AND OTHERWISE SPECIFIED

BACKWARD CLASSES
1. G.O.Ms.No.85 Backward Classes, Most Backward Classes and Minorities welfare Department dated 29.7.2008 2. G.O.Ms.No.96, Backward Classes, Most Backward Classes and Minorities welfare Department dated 8.9.2008 3. G.O.Ms.No.97 Backward Classes, Most Backward Classes and Minorities welfare Department dated 11.9.2008 4. G.O.Ms.No.37 Backward Classes, Most Backward Classes and Minorities welfare Department dated 21.5.2009 5. G.O.Ms.No.98 Backward Classes, Most Backward Classes and Minorities welfare Department dated 5.1.2009.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Agamudayar including Thozhu or Thuluva Vellala. Agaram Vellan Chettiar. Alwar, Azhavar and Alavar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District). Servai (except Tiruchirapalli, Karur, Perumbalur and Pudukottai Districts).. Nulayar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District). Archakarai Vellala. Aryavathi (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District). Ayira Vaisyar. Badagar. Billava Bondil. Boyas (except Tiruchirappalli, Karur, Perambalur, Pudukottai, The Nilgiris, Salem, Namakkal Krishnagiri and Dharmapuri Districts). Pedda Boyar (except Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). Oddars (except Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Madurai, Theni and Dindigul Districts). Kaloddars (except Kancheepuram, Tiruvallur, Ramanathapuram, Sivagangai, Virudhunagar, Madurai, Theni, Dindigul, Pudukottai, Tiruchirapalli, Karur, Perambalur, Tirunelveli, Thoothukudi, Salem and Namakkal Districts). Nellorepet Oddars (except Vellore and Tiruvannamalai Districts). Sooramari Oddars (except Salem and Namakkal Districts). Chakkala (except Sivagangai, Virudhunagar, Ramanathapuram, Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Tiruchirapalli, Karur, Perambalur, Madurai, Theni, Dindigul and the Nilgiris Districts). Chavalakarar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). Chettu or Chetty (including Kottar Chetty, Elur Chetty, Pathira Chetty, Valayalchetty, Pudukkadai Chetty (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). Chowdry.

13. 14. 15. 16.

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16.A Converts to Christianity from Scheduled Castes irrespective of the generation of conversion for the purpose of reservation of seats in Educational Institutions and for seats in Public Services. 16.B C.S.I. formerly S.I.U.C. (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 17. Donga Dasaris (except Kancheepuram, Tiruvallur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Chennai, Salem and Namakkal Districts.) 18. Devangar, Sedar. 19. Dombs (except Pudukottai, Tiruchirapalli, Karur and Perambalur Districts). Dommars (except Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Vellore and Tiruvannamalai Districts). 20. Enadi. 21. Ezhavathy (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 22. Ezhuthachar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 23. Ezhuva (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 24. Gangavar. 25. Gavara, Gavarai and Vadugar (Vaduvar) (other than Kamma, Kapu, Balija and Reddi). 26. Gounder. 27. Gowda (including Gammala, Kalali and Anuppa Gounder). 28. Hegde. 29. Idiga. 30. Illathu Pillaimar, Illuvar, Ezhuvar and Illathar. 31. Jhetty. 32. Jogis (except Kancheepuram, Tiruvallur, Madurai, Theni, Dindigul, Cuddalore, Villupuram, Vellore and Tiruvannamalai Districts). 33. Kabbera. 34. Kaikolar, Sengunthar. 35. Kaladi (except Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni, Dindigul, Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts). 36. Kalari Kurup including Kalari Panicker (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 37. Kalingi. 38. Kallar. Easanattu Kallar. Gandarvakottai Kallars (except Thanjavur, Nagapattinam, Tiruvarur and Pudukottai Districts). Kootappal Kallars (except Pudukottai, Tiruchirapalli, Karur and Perambalur Districts). Piramalai Kallars (except Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni, Dindigul, Pudukottai, Thanjavur, Nagapattinam and Tiruvarur Districts). Periya Sooriyur Kallars (except Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). 39. Kallar Kula Thondaman. 40. Kalveli Gounder. 41. Kambar. 42. Kammalar or Viswakarma, Viswakarmala (including Thattar, Porkollar, Kannar, Karumar, Kollar, Thacher, Kal Thacher, Kamsala and Viswabrahmin). 43. Kani, Kanisu, Kaniyar Panickar. 44. Kaniyala Vellalar. 45. Kannada Saineegar, Kannadiyar (Throughout the State) and Dasapalanjika (Coimbatore, Erode and the Nilgiris Districts). 46. Kannadiya Naidu. 47. Karpoora Chettiar.

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48. Karuneegar (Seer Karuneegar, Sri Karuneegar, Sarattu Karuneegar, Kaikatti Karuneegar, Mathuvazhi Kanakkar, Sozhi Kanakkar and Sunnambu Karuneegar). 49. Kasukkara Chettiar. 50. Katesar, Pattamkatti. 51. Kavuthiyar. 52. Kerala Mudali. 53. Kharvi. 54. Khatri. 55. Kongu Vaishnava. 56. Kongu Vellalars (including Vellala Gounder, Nattu Gounder, Narambukkatti Gounder, Tirumudi Vellalar, Thondu Vellalar, Pala Gounder, Poosari Gounder, Anuppa Vellala Gounder, Padaithalai Gounder, Chendalai Gounder, Pavalankatti Vellala Gounder, Pala Vellala Gounder, Sanku Vellala Gounder and Rathinagiri Gounder). 57. Koppala Velama. 58. Koteyar. 59. Krishnavaka (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 60. Kudikara Vellalar. 61. Kudumbi (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 62. Kuga Vellalar. 63. Kunchidigar. 63A. Latin Catholics except Latin Catholic Vannar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District) 63B. Latin Catholics in Shencottah Taluk of Tirunelveli District. 64. Lambadi. 65. Lingayat (Jangama) 66. Mahratta (Non-Brahmin) (including Namdev Mahratta) 67. Malayar. 68. Male. 69. Maniagar 70. Maravars (except Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Ramanathapuram, Sivagangai, Virudhunagar, Tirunelveli and Thoothukudi Districts). Karumaravars Appanad Kondayam Kottai Maravars (except Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni and Dindigul Districts). Sembanad Maravars (except Sivagangai, Virudhunagar and Ramanathapuram Districts). 71. Moondrumandai Enbathunalu (84) Ur. Sozhia Vellalar. 72. Mooppan. 73. Muthuraja, Muthuracha, Muttiriyar, Muthiriyar, Mutharaiyar. 74. Nadar, Shanar and Gramani (including Christian Nadar, Christian Shanar and Christian Gramani). 75. Nagaram. 76. Naikkar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 77. Nangudi Vellalar. 78. Nanjil Mudali (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 79. Odar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 80. Odiya. 81. Oottruvalanattu Vellalar. 82. O.P.S. Vellalar. 83. Ovachar. 84. Paiyur Kotta Vellalar. 85. Pamulu.

66

86. Panar (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the community is a Scheduled caste). 86A. Pandiya Vellalar 88. Kathikarar in Kanniyakumari District. 89. Pannirandam Chettiar or Uthama Chettiar. 90. Parkavakulam (including Surithimar, Nathamar, Malayamar, Moopanar and Nainar). 91. Perike (including Perike Balija). 92. Perumkollar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 93. Podikara Vellalar. 94. Pooluva Gounder. 95. Poraya. 96. Pulavar (in Coimbatore and Erode Districts). 97. Pulluvar or Pooluvar. 98. Pusala. 99. Reddy (Ganjam) 100. Sadhu Chetty (including Telugu Chetty, Twenty four Manai Telugu Chetty). 101. Sakkaravar or Kavathi ( in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 102. Salivagana. 103. Saliyar, Padmasaliyar, Pattusaliyar, Pattariyar and Adhaviyar. 104. Savalakkarar. 105. Senaithalaivar, Senaikudiyar and Illaivaniar. 105A Serakula Vellalar. 106. Sourashtra (Patnulkarar). 107. Sozhiavellalar (including Sozha Vellalar, Vetrilaikarar, Kodikalkarar and Keeraikarar). 108. Srisayar. 109. Sundaram Chetty. 110. Thogatta Veerakshatriya. 111. Tholkollar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 112. Tholuva Naicker and Vetalakara Naicker. 114. Thoriyar 115. Ukkirakula Kshatriya Naicker. 116. Uppara, Uppillia and Sagara. 117. Urali Gounder (except Tiruchirapalli, Karur, Perambalur and Pudukottai Districts) and Orudaya Gounder or Oorudaya Gounder (in Madurai, Theni, Dindigul, Coimbatore, Erode, Tiruchirapalli, Karur, Perambalur, Pudukottai, Salem and Namakkal Districts). 118. Urikkara Nayakkar. 118A Virakodi Vellalar. 119. Vallambar. 119A Vallanattu Chettiar. 120. Valmiki. 121. Vaniyar, Vania Chettiar (including Gandla, Ganika, Telikula and Chekkalar). 122. Veduvar and vedar (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the Community is a Scheduled Caste). 123. Veerasaiva (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 124. Velar. 125. Vellan Chettiar. 126. Veluthodathu Nair (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 127. Vokkaligar (including Vakkaligar, Okkaligar, Kappiliyar, Kappiliya, Okkaliga Gowda, Okkaliya, Gowda, Okkaliya Gowder, Okkaliya Gowda). 128. Wynad Chetty (The Nilgiris District).

67

129. Yadhava (including Idaiyar, Telugu Speaking Idaiyar known as Vaduga Ayar or Vaduga Idaiyar or Golla and Asthanthra Golla). 130. Yavana 131. Yerukula 131A Converts to Christianity from any Hindu Backward Classes Community or Most Backward Classes Community or Denotified Communities except the Converts to Christianity from Meenavar, Parvatharajakulam, Pattanavar, Sembadavar, Mukkuvar or Mukayar and Paravar. 132. Orphans and destitute Children who have lost their parents before reaching the age of ten and are destitutes; and who have nobody else to take care of them either by law or custom; and also who are admitted into any of the schools or orphanages run by the Government or recognized by the Government.

LIST OF BACKWARD CLASS MUSLIMS

133. Ansar 134. Dekkani Muslims 135. Dudekula 136. Labbais including Rowthar and Marakayar ( whether their spoken language is Tamil or Urdu) 137. Mapilla 138. Sheik 139. Syed

MOST BACKWARD CLASSES

140. Ambalakarar. 141. Andipandaram. 141A Arayar (in Kanniyakumari District) 142. Bestha, Siviar. 143. Bhatraju (Other than Kshatriya Raju) 144. Boyar, Oddar. 145. Dasari. 146. Dommara. 147. Eravallar (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the community is a Scheduled Tribe). 148. Isaivellalar. 149. Jambuvanodai. 150. Jangam. 151. Jogi. 152. Kongu Chettiar (in Coimbatore and Erode Districts only) 153. Koracha. 154. Kulala (including Kuyavar and Kumbarar). 155. Kunnuvar Mannadi. 156. Kurumba Gounder 157. Kuruhini Chetty. 157A Latin catholics christian vannar (in Kanniyakumari District) 158. Maruthuvar, Navithar, Mangala, Velakattalavar, Velakatalanair and Pronopakari. 159. Mond Golla. 160. Moundadan Chetty. 161. Mahendra, Medara. 162. Mutlakampatti.

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163. Narikoravar. 164. Nokkar 164A Panisaivan, Panisivan 165. Vanniyakula Kshatriya (including Vanniyar, Vanniya, Vannia Gounder, Gounder or Kander, Padayachi, Palli and Agnikula Kshatriya). 167. Paravar (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the community is a Scheduled Caste) 167(a) Paravar converts to Christianity including the Paravar converts to Christianity of Kanyakumari District and Shenkottai Taluk in Tirunelveli District. 168. Meenavar (Parvatharajakulam, Pattanavar, Sembadavar) (including converts to Christianity). 169. Mukkuvar or Mukayar (including converts to Christianity). 170. Punnan Vettuva Gounder. 171. Pannayar (other than Kathikarar in Kanniyakumari District). 172. Sathatha Srivaishnava (Including Sathani, Chattadi and Chattada Srivaishnava). 173. Sozhia Chetty. 174. Telugupatty Chetty. 175. Thottia Naicker (including Rajakambalam, Gollavar, Sillavar, Thockalavar Thozhuva Naicker, and Erragalor ). 176. Thondaman. 176A Thoraiyar (The Nilgiris) 176B Thoraiyar (Plains) 177. Valaiyar (including Chettinad Valayars). 178. Vannar (Salavai Thozhilalar) (including Agasa, Madivala, Ekali, Rajakula, Veluthadar and Rajaka) (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the community is a Scheduled Caste). 179. Vettaikarar. 180. Vettuva Gounder. 181. Yogeeswarar.

DENOTIFIED COMMUNITIES
182. Attur Kilnad Koravars (Salem, Namakkal, Cuddalore, Villupuram, Ramanathapuram, Sivagangai and Virudhunagar Districts). 183. Attur Melnad Koravars (Salem and Namakkal Districts). 184. Appanad Kondayam Kottai Maravar (Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni and Dindigul Districts). 185. Ambalakkarar (Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). 186. Ambalakarar (Suriyanur, Tiruchirapalli District). 187. Boyas (Tiruchirapalli, Karur, Perambalur, Pudukottai, The Nilgiris, Salem, Namakkal, Dharmapuri and Krishnagiri Districts). 188. Battu Turkas. 189. C.K. Koravars (Cuddalore and Villupuram Districts). 190. Chakkala (Sivagangai, Virudhunagar, Ramanathapuram, Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Tiruchirapalli, Karur, Perambalur, Madurai, Theni, Dindigul and the Nilgiris Districts). 191. Changayampudi Koravars (Vellore and Tiruvannamalai Districts). 192. Chettinad Valayars (Sivagangai, Virudhunagar and Ramanathapuram Districts). 193. Dombs (Pudukottai, Tiruchirapalli, Karur and Perambalur Districts). 194. Dobba Koravars (Salem and Namakkal Districts). 195. Dommars (Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Vellore and Tiruvannamalai Districts).

69

196. 197. 198. 199. 200. 201. 202. 203. 204. 205. 206. 207. 208. 209. 210.

211.

212. 213. 214. 215. 216. 217. 218. 219. 220. 221. 222. 223. 224. 225. 226. 227. 228. 229. 230.

Donga Boya. Donga Ur.Korachas. Devagudi Talayaris. Dobbai Korachas (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). Dabi Koravars (Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Vellore and Tiruvannamalai Districts). Donga Dasaris (Kancheepuram, Tiruvallur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Chennai, Salem and Namakkal Districts). Gorrela Dodda Boya. Gudu Dasaris. Gandarvakottai Koravars (Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Cuddalore and Villupuram Districts). Gandarvakottai Kallars (Thanjavur, Nagapattinam, Tiruvarur and Pudukottai Districts). Inji Koravars (Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). Jogis (Kancheepuram, Tiruvallur, Chennai, Cuddalore, Villupuram, Vellore and Tiruvannamalai Districts). Jambavanodai. Kaladis (Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni, Dindigul, Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts). Kal Oddars (Kancheepuram, Tiruvallur, Ramanathapuram, Sivagangai, Virudhunagar, Madurai, Theni, Dindigul, Pudukottai,Thanjavur, Nagapatinam, TiruvarurTiruchirapalli, Karur, Perambalur, Tirunelveli, Thoothukudi, Salem and Namakkal Districts). Koravars (Kancheepuram, Tiruvallur, Ramanathapuram, Sivagangai, Virudhunagar, Pudukottai, Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur, Tirunelveli, Thoothukudi, Chennai, Madurai, Theni, Dindigul, and The Nilgiris Districts). Kalinji Dabikoravars (Thanjavur, Nagapattinam, Tiruvarur and Pudukottai Districts). Kootappal Kallars (Tiruchirapalli, Karur, Perambalur and Pudukottai District). Kala Koravars (Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur and Pudukottai District). Kalavathila Boyas. Kepmaris (Kancheepuram, Tiruvallur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts). Maravars (Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Ramanathapuram, Sivagangai, Virudhunagar, Tirunelveli and Thoothukudi Districts). Monda Koravars. Monda Golla (Salem and Namakkal Districts). Mutlakampatti (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). Nokkars (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). Nellorepet Oddars (Vellore and Tiruvannamalai Districts). Oddars (Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Madurai, Theni and Dindigul Districts). Pedda Boyas (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). Ponnai Koravars (Vellore and Tiruvannamalai Districts). Piramalai Kallars (Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni, Dindigul, Pudukottai, Thanjavur, Nagapattinam and Tiruvarur Districts). Peria Suriyur Kallars (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). Padayachi (Vellayan Kuppam in Cuddalore District, Tennore in Tiruchirapalli District). Punnan Vettuva Gounder (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). Servai (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts).

70

231. Salem Melnad Koravars (Madurai, Theni, Dindigul, Coimbatore, Erode, Pudukottai, Tiruchirapalli, Karur, Perambalur, Salem, Namakkal, Vellore and Tiruvannamalai Districts). 232. Salem Uppu Koravars (Salem and Namakkal Districts). 233. Sakkaraithamadai Koravars (Vellore and Tiruvannamalai Districts). 234. Saranga Palli Koravars. 235. Sooramari Oddars (Salem and Namakkal Districts). 236. Sembanad Maravars (Sivagangai, Virudhunagar and Ramanathapuram Districts). 237. Thalli Koravars (Salem and Namakkal Districts). 238. Thelungapatti Chettis (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). 239. Thottia Naickers (Sivagangai, Virudhunagar, Ramanathapuram, Kancheepuram, Tiruvallur, Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Tirunelveli, Thoothukudi, Salem, Namakkal, Vellore, Tiruvannamalai, Coimbatore and Erode Districts). 240. Thogamalai Koravars or Kepmaris (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). 241. Uppukoravars or Settipalli Koravars (Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Madurai, Theni, Dindigul, Vellore and Tiruvannamalai Districts). 242. Urali Gounders (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). 243. Wayalpad or Nawalpeta Korachas. 244. Vaduvarpatti Koravars (Madurai, Theni, Dindigal, Ramanathapuram, Sivagangai, Virudhunagar, Tirunelveli, Thoothukudi, Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). 245. Valayars (Madurai, Theni, Dindigul, Tiruchirapalli, Karur, Perambalur, Pudukottai, Erode and Coimbatore Districts). 246. Vettaikarar (Thanjavur, Nagapattinam, Tiruvarur and Pudukottai Districts). 247. Vetta Koravars (Salem and Namakkal Districts). 248. Varaganeri Koravars (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). 249. Vettuva Gounder (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts).

THE SCHEDULE (SCHEDULED CASTES)TAMILNADU

436. 401 . Adi-Dravida 402. Adi-Karnataka 403. Ajila 404. Ayyanavar (in Kanyakumari District and Shenkottah taluk of Tirunelveli District) 405. Baira 406. Bakuda 407. Bandi 408. Bellara 409. Bharatar (in Kanyakumari District and Shenkottah taluk of Tirunelveli District) 410. Chalavadi 411. Chamar, Muchi 412. Chandala 413. Cheruman 414. Devendrakulathan 415. Dom, Dombara, Paidi, Pano 416. Domban. 437. 438. 439. 440. 441. 442. Mannan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District). Mavilan. Moger. Mundala. Nalakeyava. Nayadi Padannan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District) Pallan Palluvan Pambada. Panan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District). Panchama. Pannadi. Panniandi. Paraiyan, Parayan, Sambavar. Paravan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District).

443. 444. 445. 446. 447. 448. 449. 450. 451.

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417. Godagali 418. Godda 419. Gosangi 420. Holeya 421. Jaggali 421. Jambuvulu 423. Kadaiyan 424. Kakkalan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District). 425. Kalladi 426. Kanakkan, Padanna (in the Nilgiris District) 427. Karimpalan 428. Kavara (in Kanyakumari District and Shenkottah taluk of Tirunelveli District). 429. Koliyan 430. Koosa 431. Kootan, Koodan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District). 432. Kudumban 433. Kuravan, Sidhanar

452. 453. 454. 455. 456. 457. 458. 459. 460.

Pathiyan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District). Pulayan, Cheramar. Puthirai Vannan. Raneyar. Samagara. Samban. Sapari Semman. Thandan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District). Tiruvalluvar. Vallon Valluvan. Vannan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District). Vathiriyan. Velan. Vetan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District. Vettiyan. Vettuvan (Kanyakumari District and Shenkottah taluk of Tirunelveli District). Adi-Andhra Arunthathiyar Chakkiliyan Madari Madiga Pagadai Thoti

461. 462. 463. 464. 465. 466. 467. 468. 469. 470. 471. 472. 473. 474. 475. 476.

434. Maila. 435. Mala.

Note: 3% of Total Reservation of seats earmarked to Scheduled Caste will be allotted to Arunthathiyar Community which included in the list of community mentioned in Sl.No.470 - 476

THE SCHEDULE (SCHEDULED TRIBES)TAMILNADU

501. 502. 503. 504. 505. 506. 507. 508. 509. 510. 511. 512. Adiyan Aranadan Eravallan Irular. Kadar Kammara (excluding Kanniyakumari District and Shenkottah taluk of Tirunelveli District). Kanikaran, Kanikkar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District). Kaniyan, Kanyan. Kattunayakan. Kochu Velan. Konda Kapus. Kondareddis. 72

513. 514. 515. 516. 517. 518. 519. 520. 521. 522. 523. 524. 525. 526. 527. 528. 529. 530. 531. 532. 533. 534. 535. 536.

Koraga. Kota (excluding Kanniyakumari District and Shenkottah taluk of Tirunelveli District). Kudiya, Melakudi. Kurichchan. Kurumbas (in the Nilgiris District). Kurumans. Maha Malasar. Malai Arayan. Malai Pandaram. Malai Vedan. Malakkuravan. Malasar. Malayali (in Dharmapuri, North Arcot, Pudukottai, Salem, South Arcot, Cuddalore, Villupuram, Tiruchirapalli, Karur and Perambalur Districts). Malayakandi. Mannan. Mudugar, Muduvan. Muthuvan. Pallayan. Palliyan. Palliyar. Paniyan. Sholaga. Toda (excluding Kanniyakumari District and Shenkottah taluk of Tirunelveli District). Uraly.

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INFORMATION OF GOVERNMENT / SELF FINANCING MEDICAL / DENTAL COLLEGES FOR 2011-2012 SESSION
MBBS / BDS COURSES
No. College Address Phone & Fax No. Nearest Railway Station / Bus stop Hostel Facilities Available for Boys Girls Yes Yes

Dean, Madras Medical College, Periyar EVR Road, Park Towan Chennai -3 Dean, Stanley Medical College, M.C.Road,Chennai Dean, Madurai Medical College, Panagal Road, Madurai 625 020 Dean, Thanjavur Medical College, Thanjavur 613 004 Dean, Kilpauk Medical College, Poonamallee High Road, Kilpauk, Chennai -600 010. Dean, Chengalpattu Medical College, Chengalpattu-603 001 GST Road, Kancheepuram Dist. Dean Tirunelveli Medical College, Tirunelveli , Pin 627 011 Dean, Coimbatore Medical College Avinashi Road, Peelamedu Coimbatore 641 014 Dean, Government Mohan Kumara mangalam Medical College Salem , Pin 636 030 Dean, KAP. Viswanatham Govt.Medl.College Pariyamilagu parai Tiruchirapalli 620 001

Ph.044-25305000, Fax:044-35305115

Central Rly.Station Km. Park Town Bus stand Km

Ph.044 25281346 Fax 044 25283173

3 4 5

(0452) ph. 2532535 to 42 Fax 2526028 (04362) Ph.240854 Fax. 240184 (044) Ph.26431930, 26412979 26431927 Fax.28364950 (044) Ph.27426566 Fax 27426566 (0462) Ph.2572733,34 25727334 Fax 2572944 (0422) Ph. 2574375 to 2574376 Fax.2574377 (0427) Ph.2383313 Fax.2383193 0431 Ph. 2401011 Fax.2411012

Washermenpet Rly.Station within a km, Bharathi Arts College for Women stop walkable Distance Madurai Rly.Station (Junction) 3 Kms Anna Bus stand Km. Thanjavur Rly.Station 5 kms , New Bus stand 3 kms , Old bus stand 5 kms. KMC Bus stop walkable distance , Park 3 kms , Central Egmore 3 kms, Chetpet 1 km.

Yes

Yes

Yes Yes Yes

Yes Yes Yes

Chengalpattu Junction 3 Kms Chengalpattu Bus stop 3 kms.

Yes

Yes

Tirunelveli Rly.stn. 6 kms , Nearest Bus stop, High ground Km, New Bus stand Coimbatore Junction 10 Kms. Medl.College Opposite Bus stop

Yes

Yes

Yes

Yes

Salem Junction 7 kms. Nearest Bus stop Medl.College Bus stop Trichy Junction 1 Km. Bus stop Medical College entrance

Yes

Yes

10

Yes

Yes

74

No.

College Address

Phone & Fax No.

Nearest Railway Station/Bus stop

Hostel Facilities Available for Boys Girls Yes Yes

11

12

13

14

15

16

Dean Thoothukudi Medical College, 3rd Mile , Kamaraj Nagar, Thoothukudi 628 008 Dean, Kanyakumari Govt. Medl. College, Asaripallam 629 201 K.K.District Dean Govt.Vellore Medical College Adukkamparai , Vellore 632 011 Dean Govt.Theni Medical College, Theni 625 531. K.Villakku, Andipatti TK Dean, Dharmapuri Govt.Medical College, Dharmapuri. Dean, Villupuram Govt.Medical College, Villupuram. Dean, Tiruvarur Govt.Medical College, Master Plan Complex, Vilamal Village, Tiruvarur 610 004 Dean IRT Perundurai Medical College, Perundurai Sanitorium 638 053.Erode District. Principal P.S.G.Institute of Medical Science , P.B.No.1674, Avanashi Road, Peelamedu, Coimbatore-4 The Director Sree Mookambika Institute of Medical Science and Research, Velayuthan Pillai Memorial Hospital Complex/Padanilam Kulasekharam-629161, K.K.District. The Dean, Melmaruvathur Adhiparasakthi Ins. of Medical Science & Research M elmaruvathur-603 319. The Principal, Karpagavinayaga Institute of Medical Science & Research centre,GST Road, PalayanoorPost.Madhuran thagam TK, Kancheepuram Dt.

0461 Ph. 2392698 Fax. 2310122 04652 Ph:223201,223202 Fax 223201 0416 Ph.2260900 Fax 2261900 04546 Ph.:244503, 244516 Fax:244502 04342 Ph. 233033 Fax:233044 04146 Ph: 232400 Fax: 232400 04366 Ph: 222003, 220040 Fax: 222003 04294 Ph.220910 220913 Fax:220226 0422 Ph.2570170 7 lines 2598822 16 lines Fax:2594400 04651 Ph.280866 Fax: 280740 742

Thoothukudi Melur Rly,Station 4 Km. 3rd Mile Bus Stop 0.2 km. Nearest Railway Station Nagercoil 8 kms Nagercoil Bus stand 5 kms. Katpadi Railway Station 20kms. Adukumbari Bus Stop 500 Mts. Theni 8 Kms. Medical College Bus stop 0.5 km. Dharmapuri Railway Station 0.5 km Bus stop 1 km Villupuram Railway station 8 kms Bus Stop Mundiyambakkam 0.5 km Tiruvarur Railway Station 4 km Collectorate bus stop 0.5 km Erode Rly.Station 21 Kms. Bus Stop Perundurai 2 kms.

Yes

Yes

Yes

Yes

Yes

Yes

Yes Yes

Yes Yes

17

Yes

Yes

18

Yes

Yes

19

Coimbatore Central Railway Station 7 kms. Peelamedu Bus stop 100 mts. Kushithurai Railway Station 12 Kms Bus stop Kulasekharam 100 feet

Yes

Yes

20

Yes

Yes

21

22

044 Ph. : 044- 27528303, 04 Fax : 044- 27528305 044 Ph: Fax:27565170

Melmaruvathur Rly.Station 1 Km. Melmaruvathur Bus stop 1 km. Nearest Rly.station Chengalpattu 15 kms. Nearest Bus Stop Padalam 1 km.

Yes

Yes

Yes

Yes

75

No.

College Address

Phone & Fax No.

Nearest Railway Station/Bus stop

Hostel Facilities Available for Boys Girls Yes Yes

23

The Dean, Tagore Medical College & Hospital Rathnamangalam, Vandalur , Chennai 600 048. The Dean, Sri Muthukumaran Medical College & Research Institute, Chikkarayapuram, Near Mangadu, Chennai 600 069 The Dean, Chennai Medical College Hospital And Research Centre, Irungalur, Trichy. Principal, T.N.Govt.Dental College & Hospital, Dr.Muthusamy Road, Chennai 600 003 .Opp.to Fort Rly.Station The Principal, Ragas Dental College & Hospital, 2/102 East Coast Road, Uthandi, Chennai 600 119. The Director Sree Mookambika Institute if Dental Science Velayuthan Pillai Memorial Hospital Complex / Padanilam, Kulasekharam629161,K.K.District The Principal, Rajas Dental College& Hospital, Thirurajapuram, Kavalkinaru Junction, Tirunelveli Dt. 627 105. The Principal, K.S.R. Institute of Dental Science & Research, K.S.R. Kalvi Nagar, Thokkavadi Post, Tiruchengode Namakkal District.` The Principal, Sri Ramakrishna Dental College & Hospital, S.N.R. College Road, Coimbatore 641 006. The Principal, Adhiparasakthi Dental College & Hospital, Melmaruvathur, Kanchipuram District 603 103.

Ph :044 27405232 044 69904863 Fax: 044 27409724

Vandalur Railway Station 7 km Rathnamangalam 0.5 km

24

Ph: 044 24784000 044 64697670 Fax: 044 24780101

Tambaram Railway Station -10 km Mangadu Bus Stop 1 km

Yes

Yes

25

Ph: 0431 4298686 0431 4298666 Fax: 0431 4298877 Ph.044 25341342,43, 25340441 Fax: 25340681

Trichy Railway Station 20 km Irungalur Bus Stop 0.5 km

Yes

Yes

26

Near Chennai Fort Rly.Station Dental Hospital Bus stop adjacent to the College entrance

Yes

Yes

27

28

044 2543002 to 24530006 Fax: 24530009 04651 280742 to 280745 Fax: 280740

Tambaram Railway Station 15 Kms College Bus stop 20 feet Kushithurai Railway Station 12 Kms Bus stop Kulasekharam 100 feet

Yes

Yes

Yes

Yes

29

04367 Ph.230163, 292488 Fax:230163

30

04288 274741-44, 274981 Fax: 274761,274745

Nearest Rly.Station Valliyoor 15 kms Nagercoil 25 kms Kavalkinaru Junction walkable distance Erode Railway station 12 kms. Opp College KSR Kalvi Nagar on Erode Tiruchengode

Yes

Yes

Yes

Yes

31

0422 Ph:2560381 Fax: 2564688

Nearest Rly. Station Coimbatore 6 kms. Nearest Bus Stop Nava India 0.5 kms. Melmaruvathur Rly.Station 1 Km. Melmaruvathur Bus stop 1 km.

Yes

Yes

32

044 Ph.27529628, 27529230 Fax: 27529393, 27528081

Yes

Yes

76

NO

College Address
The Principal, Sri Venkateswara Dental College and Hospital, Off Old Mahaballipuram Road, Near Navalur, Thalambur, Chennai 603 103. The Principal, Vivekananda Dental College for Women, Elayampalayam 637 205, iruchengode (TK) Namakkal District The Principal, Best Dental Science College, Ultra Trust, No: 69/1 A Melur Road, Vowalthottam (PO) Madurai 625 104 The Principal, Karpaga Vinayaga Institute of Dental Sciences, GST Road, Palayanoor Post, Chinnakolambakkam, Madhuranthagam Taluk, Kancheepuram Dist 603 308. The Principal, Priyadharshini Dental College & Hospital, 1, VGR Gardens, VGR Nagar, Pandur 631 203, Tiruvallur Taluk & District The Principal, CSI College of Dental Science and Research, 129 East Veli Street, Madurai 625 001. The Principal, Chettinad Dental College & Research Institute, Rajiv Gandhi Salai, Kelambakkam, Kanchipuram District 603 103 The Principal, Tagore Dental College & Hospital, Ranthinamangalam, Vandalore Post, Chennai 48 The Chairman, RVS Dental College & Hl., Trichy Road,Kannampalayam Sulur, Coimbatore -641 402

Phone & Fax No

044 Ph 27435061 32006603 Fax:27435059 Email: info@svdental college.com 04288 Ph.234674(4 lines) Fax:234890, 234891

Nearest Railway Station/Bus stop

Nearest Rly. Station Velachery 9 kms. Bus stop Thalambur 100 mts.

Hostel Facilities Available for

BOYS GIRLS

28.

Yes

Yes

29

Nearest Rly.Station Erode 25 Kms. Nearest Bus stop Tiruchingode 6 Kms.

Girls only

30

0452 Ph.2534593,2423291 Fax:2423290,253982 8 044 Ph.27592844 Fax:27592844

Nearest Railway Station Madurai Junction 12 Kms, Bus stop Mattuthavani 4 Kms.

Yes

Yes

31

Nearest Rly.station Chengalpattu 15 kms. Nearest Bus Stop Padalam 1 km.

Yes

Yes

32

044 27650160,161 Fax:27650377

Nearest Rly.Station Thiruvallur 6 kms. Bus Stop Opposite college

Yes

Yes

33

0452 Ph:2371708 Fax:2336605

Nearest Rly.Station Madurai Junction 2 kms. Nearest Bus Stop Front of College Nearest Rly.Station Vandalur 20 Kms. Bus stop Kelambakkam Approx. 2 kms. Nearest Railway station Vandalur 7 kms. Bus Stop Rathinamangalam km. Nearest Railway station Coimbatore Junction 10km. Bus stop- soolur

Yes

Yes

34

044 Ph:47411011 Fax:47411000

Yes

Yes

35

044 Ph:27409724 Fax 27477702 0422 2680744 2680746 Fax 2680745

Yes

Yes

36

Yes

Yes

77

PRE - DESPATCH CHECK LIST FOR THE USE OF THE APPLICANT

It is the candidate's own responsibility to exercise suitable checks and ensure that his / her application is correct and complete in all respects. As a facility for a further check, a list of tasks are given below. Against each task-description, the candidate should put a tick mark () or write "N.A." to indicate that the task has been done or is Not Applicable to him / her.

1. i ii iii 2 i

DATA +2 Registration number, year and month entered in the Application, OMR Sheet and cover for return of documents Application and OMR Sheet filled up Checked and confirmed that corresponding entries in Application Form and OMR Sheet tally and that there is no discrepancy SUPPORTIVE DOCUMENTS Mark sheet of H.S.C. (Academic) examination (both sides of mark sheet should be photocopied) or any other equivalent examination of the first appearance. Transfer certificate obtained after the completion of H.S.C. (Academic) or equivalent courses Nativity certificate with supporting documents (if applicable) Permanent Community Certificate Card. X standard Mark Sheet . Certificate for proof of study from VIII standard to XII standard. H.S.C Hall Ticket First graduate certificate( if applicable ). Special category form(s) with Demand Drafts and relevant certificates (if applicable) MISCELLANEOUS Attested Passpost size photograph affixed in the Application Self addressed and sufficiently stamped acknowledgement card. Three self addressed envelopes

()/ "N.A."

ii iii iv v vi vii viii ix 3 i ii iii

Date:

Signature of the Applicant

Note: This form should be detached and submitted along with the filled in application . 78